An integrative review of supportive relationships between child-bearing women and midwives

Nurs Open. 2023 Mar;10(3):1327-1339. doi: 10.1002/nop2.1447. Epub 2022 Nov 9.

Abstract

Aims: To review and evaluate the literature on the factors related to developing supportive relationships between women and midwives, including facilitators and barriers.

Design: An integrative review.

Method: The search used CINAHL, MEDLINE, Embase, EMcare, Maternity and Infant Care, PsycINFO, and Google Scholar from January 2009-June 2020. Two reviewers screened the eligible studies, and 2,399 records were identified. Quality was assessed with the mixed methods appraisal tool, and 14 articles were included.

Results: The findings highlight that successful relationships require therapeutic communication, trust, respect, partnership, and shared decision-making. Supportive relationships improve women's satisfaction and birth outcomes, and continuity of care model is an enabling factor. Further research is required to understand supportive relationships in non-continuity of care models and when different cultural backgrounds exist.

Keywords: barriers; experience; facilitators; integrative review; maternity; midwife-woman relationship; midwives; nurses; relationship; supportive.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Continuity of Patient Care
  • Female
  • Humans
  • Infant
  • Midwifery* / methods
  • Pregnancy