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|Title:||The impact of outpatient priming for induction of labour on midwives' work demand, work autonomy and satisfaction|
|Citation:||Women and Birth, 2013; 26(3):207-212|
|Deborah Turnbull, Pamela Adelson, Candice Oster, Judy Coffey, John Coomblas, Robert Bryce, Chris Wilkinson|
|Abstract:||BACKGROUND: Induction of labour often begins with the application of a priming agent to soften the cervix, generally requiring women to stay in hospital overnight (inpatient priming). An alternative is outpatient priming by a midwife, where women are allowed to go home following priming. This approach has the potential to impact, either positively or negatively, on the midwives involved. QUESTION: To what extent did the introduction of outpatient priming influence midwives' work demands, work autonomy, stress and job satisfaction. METHODS: A before-after study (with two separate cross-sectional samples) was conducted alongside a randomized controlled trial of outpatient versus inpatient priming, conducted at two metropolitan teaching hospitals in Australia. Midwives completed a questionnaire before the introduction of outpatient priming and again approximately two years later. FINDINGS: 208 midwives participated (response rates-time 1:81% (87/108); time 2:78% (121/156)). A mixed model analysis test of pre-post intervention differences found no changes in work demand, work autonomy and satisfaction. At time 2, over 80% of midwives reported that the introduction of the practice had reduced or made no difference to their work stress and workload, and 93% reported that outpatient priming had increased or had no impact on their job satisfaction. Furthermore, 97% of respondents were of the opinion that the option of outpatient priming should continue to be offered. CONCLUSION: Results suggest that outpatient priming for induction of labour is viable from a midwifery practice perspective, although more research is needed.|
|Keywords:||Labor; induced; cervical ripening; outpatients; job satisfaction; professional autonomy; midwifery|
|Rights:||© 2013 Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd) on behalf of Australian College of Midwives|
|Appears in Collections:||Psychology publications|
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