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Psychologically Water Births

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Additionally, midwifery skills is continually polluted by years of managing labour under obstetric vigilance and high end technology. Consequently, the dominance of the medical model over the biological model persisted with a negative implication for midwifery confidence in promoting normal births (RCM, 2014; Lucas, 2011). Hence, change can only be possible if the blame and claim culture of childbirth and birthing without fear is realised for women, midwives and obstetricians (Johanson et al., 2002). Amidst the medical model dissecting and reconstructing pregnancy and childbirth with disregard for maternal inherent physiology, there is no doubt that the obstetrician plays an important role in preserving lives when complications of pregnancy …show more content…

This skill encourages individualised care, a hands-off midwifery approach that encourages informed consent for a genuinely important intervention when the need arises (Wickham, 2009). The physical attribute of water birth is associated with the environment in the water which brings about relaxation for the mother (Garland, 2010). In land births however, the assembly line model of birth dictates a woman’s labour and progress at specific intervals. For IOL, the midwives know the specific time for intervention and manipulation of labour, thus labour fits in to the organisational dictates with little or no involvement of the women in her labour process (McCourt, 2014; Walsh, 2006). Water birth on the other hand, involves women in decision making where they generally have a sense of control over their bodies and their labour (Richmond 2003; Hall and Holloway 1998). Kelly will also feel calm knowing that there is no significant neonatal adverse effect recorded with water birth (Taylor et al., 2016) or long term complications (Russell 2014) even though, the risk of cord avulsion is three in a thousand deliveries (Schafer, …show more content…

Walsh (2009) identified this denial as disembodiment which has a traumatizing effect. Sadly, its effect results into a dehumanizing separation of the woman’s body from being making it (body) easy to manipulate (Foucault, 1973). This is exemplified when pain during induction of labour over powers the woman, disconnecting her from her corpus (McCourt, 2014; Walsh, 2009; Akrich and Pasverer, 2004; Foucault, 1973). However, despite the instrumental need of the institution, the notion of risk and an institutionalized behavior, obstetricians and midwives can tactfully soften their professional skills to facilitate a natural birth (Walsh, 2009; Berg, 2005). Midwives caring for women in the obstetric unit, can serve as guardians for providing woman-centred care, support women’s choices by acting as a buffer, shutting the door for privacy and guarding her in a space where she can labour undisturbed (Downe, 2008; NICE, 2008; Garland, 2010). Midwives must however feel empowered in order to empower women (Hermansson and Mårtensson, 2011). An empowered midwife will use her expertise to improve outcomes of practice, parents’ awareness of available resources and adaptation for the parenting process (Lucas, 2010; Hollins-Martin and Bull,

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