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Dissertation
Midwives' views on intramural implementation of Midwife Led Care in Flanders: a qualitative study
Authors: --- --- ---
Year: 2014 Publisher: Leuven : K.U. Leuven. Faculteit Geneeskunde

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Abstract

Objective: to explore the views of midwives on intramural implementation of Midwife Led Care (MLC) in Flanders. Design: a qualitative, descriptive, phenomenological study based on the method of Giorgi using individual in-depth semi-structured interviews to gather data.Setting: Three non-university hospitals in two of the five provinces of Flanders, Belgium, were included in this study.Participants: 11 Flemish midwives working in the hospital were purposively sampled. Measurements and findings: According to the three sub-questions, different themes and subthemes were introduced by the participants. Knowledge of MLC among Flemish midwives was limited. MLC itself was viewed as the most important possible facilitator for intramural implementation of MLC. Obstetricians, education and funding were viewed as the most important possible impediments for intramural implementation of MLC.Key conclusions: The Flemish midwife who practices in hospital is not familiar with the MLC model, but is keen to implement a model which is woman centred and focuses more on the normality of childbirth with less unnecessary medical interventions. However, midwives are sceptical about the possibility for implementation of intramural implementation of MLC in Flanders.Implications for practice: Further research is needed to explore the feasibility of intramural MLC in Flanders.

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