Finding your own intuition: a workshop designed to explore practitioners’ ways of knowing during childbirth

Authors: Fry, J.

Conference: 12th International Normal Labour and Birth Research Conference

Dates: 2-4 October 2017

Abstract:

This workshop addresses two of the conference objectives: to disseminate research and to provide the opportunity for collaboration and debate of participants. The presentation will provide an over view of a recent descriptive phenomenological research study exploring independent midwives’ use of intuition as an authoritative form of knowledge, and will focus on the findings occurring during women’s labours and births. The workshop will then provide an interactive forum where attendees are encouraged to share their experiences of intuition when caring for women during labour and birth. Participants will then be invited to explore how they can recognise and utilise their own intuition as an authoritative source of knowledge and further develop it by reflectively analysing and embodying their personal ways of knowing.

Background: Out of the diversity of possible ways of knowing in maternity and health care, there has emerged a hegemonic emphasis on knowledge that is based on scientific principles. Arguably, there is also a role for intuition in healthcare. Indeed, leading midwives, educationalists and researchers in related fields have hailed the important role of intuition in advancing midwifery practice and education. A review of the literature shows that there is a dearth of research exploring the nature and use of intuition in midwifery practice.

Method: This descriptive phenomenological study with an embodied interpretive stage explores the experiences and use of intuition in a cohort of seven independent midwives across the South and Midlands area of the United Kingdom. Findings: The study found that the experience and utilisation of the independent midwives’ intuition is a complex phenomenon that included the reception of subtle cues, own emotions, bodily-felt sensations, images and dreams. Such ways of knowing provided practice-relevant knowledge that can be either specific or non-specific and can serve various levels and kinds of use (for example, from directly increasing generalised alertness to specific directions for treatment). The findings result in a novel typology of the essence of midwifery intuition and the different nuanced ways it comes to be utilised, developed, and confirmed or disconfirmed within the holistic trajectory of practice.

Discussion: The study’s findings comprise how the identification of the salient elements of the midwives’ intuition has contributed to the understanding of the phenomenon and may aid other midwives and students in developing and enhancing their own intuition. This workshop will provide assistance in enabling intuition to be recognised as a first person rational form of authoritative knowledge to be utilised, and at times, prioritised alongside other forms of practice knowledge. Recognising intuition as part of a holistic knowing will enhance individualised, safe, maternity care for women and autonomous, transparent decision making for midwives. Conclusion: It is recommended that the provision of this reflective workshop will enable clarification of the phenomenon and enable other practitioners to develop this form of artistry.

Source: Manual