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Exploring trust in (bio)medical and experiential knowledge of birth : the perspectives of pregnant women, new mothers and maternity care providers
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Clancy, Georgia, Boardman, Felicity K. and Rees, Sophie (2022) Exploring trust in (bio)medical and experiential knowledge of birth : the perspectives of pregnant women, new mothers and maternity care providers. Midwifery, 107 . 103272. doi:10.1016/j.midw.2022.103272
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Official URL: http://dx.doi.org/10.1016/j.midw.2022.103272
Abstract
Objective:
To explore women's and maternity care providers’ experiences of birth, and the roles of (bio)medical and experiential knowledge therein.
Research design/setting:
In-depth qualitative interviews were undertaken with pregnant women and new mothers (n = 14) as well as with a range of maternity care providers working for the National Health Service (n = 6) and privately (n = 7).
Findings:
Trust emerged as a key concept in women's and maternity care providers' narratives. It was found that women and maternity care providers placed trust in two key areas: trust in past experiences and trust in women's innate abilities and embodied knowledge of birth.
Key conclusions:
Women and maternity care providers trust and utilise both (bio)medical and experiential forms of knowledge of birth in complex ways and the value an individual ascribes to (bio)medical and/or experiential knowledge is highly subjective, and not necessarily mutually exclusive. This destabilises the notion that (bio)medical knowledge is associated with experts and experiential knowledge is associated with ‘lay’ people, and that these two bodies of knowledge are distinct.
Implications for practice:
Trust is a key concept in maternity care. The predominance of biomedical models of birth risk reducing trust in the value of experiential based birth knowledges – both embodied and empathetic. Trust in experiential knowledge could help to facilitate woman-centred care by recognising women as valuable ‘knowers’ with unique insight to contribute, and not just receivers of medical knowledge. It may also help providers ‘tune-in’ with the women in their care if they allow their experiential knowledge to complement their (bio)medical knowledge.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RG Gynecology and obstetrics | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Social Sciences > Sociology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Childbirth, Pregnancy , Pregnant women , Maternal health services, Pregnant women -- —Services for | ||||||||
| Journal or Publication Title: | Midwifery | ||||||||
| Publisher: | Elsevier Sci Ltd. | ||||||||
| ISSN: | 0266-6138 | ||||||||
| Official Date: | April 2022 | ||||||||
| Dates: |
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| Volume: | 107 | ||||||||
| Article Number: | 103272 | ||||||||
| DOI: | 10.1016/j.midw.2022.103272 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| RIOXX Funder/Project Grant: |
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