Introduction and Aim
Using the qualitative methodology of portraiture, this study aims to develop an in-depth
understanding of midwives’ experiences of facilitating informed decision-making relating
to the management of the third stage of labour.
Five (5) Victorian midwives with varying experience working across the continuum of
maternity care in diverse midwifery settings, were engaged in one-on-one semi-structured
interviews. The qualitative data of each interview was analysed and presented according
to the portraiture approach outlined by Lawerence-Lightfoot & Davis and Clarke, Reed
& Keyes, as individual in-depth case studies. The purpose of portraiture is to tell
a story that allows the reader to see themselves captured in the research. This provokes
readers to reflect, feel and think about where they can enact change. Portraits are
examined against one another, to search for themes and commonalities, as well as discrepancies.
Due to the in-depth understanding of the background of each participant, this allows
for a rich insight into midwives’ experiences of facilitating informed decision-making
in the third stage of labour.
At the time of submitting this abstract, data analysis is still underway. This project
is due to be completed by June 2022. Early findings from our analysis of the portraits
has led us to understand that midwives identify multiple barriers to truly facilitating
informed decision-making for third stage, but continue to advocate for women’s choices
Informed decision-making is a protective factor for women’s mental and physical health
in pregnancy and the puerperium, and also has significant implications for midwives’
job satisfaction. This study portrays the unique, and detailed experiences of five
thought-provoking, powerful and yet ordinary midwives at differing points in their