Attuning to the World of Peace of Mind and Trust: Women’s Lived Experience of the Woman

Abstract

In Japan, many pregnant women and mothers suffer from anxiety, depression, and other postnatal issues that can be exacerbated by their birth experiences. While benefiting from advanced medical care, these women’s mental and psychological health may be disregarded in their maternity care. Midwives have the potential to play a significant role in improving women’s birth experiences. Hence, this study aimed to explore the meaning of the woman–midwife relationship, with a specific focus on sensing peace of mind and trust to improve women’s birth experiences. Using a hermeneutic phenomenological approach, 14 Japanese women were interviewed. Sensing peace of mind and trust was one of the significant meanings of the woman–midwife relationship and is articulated across five themes: (1) attuning to the world, (2) different kinds of safety and trust, (3) relying on and entrusting midwives, (4) making a mother, and (5) an emotional bridge. The positive relationship with midwives enhanced the women’s mental well-being through allowing the women to attune to the peaceful mind which directed their future perspectives and sustained them in motherhood. They became confident mothers by trusting their midwives. The maternity care system in Japan needs to shift to more relationship-based care to ensure continuity of midwifery care that will improve women’s birth experiences and their long-term well-being.

Keywords

hermeneutic phenomenology qualitative women’s lived experience birth experience woman–midwife relationship midwifery continuity of care safe trust Japan

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References

Asahi Shimbun . (2007). Kaigyō josanjo, san wari pinchi shokutakui gimuka ni kakuho kibishiku [30% of midwifery homes in a crisis, hard to find backup doctors]. Asahi Shimbun.

Berkman

L. F.

Glass

Brissette

Seeman

T. E.

(2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857. https://doi.org/10.1016/s0277-9536(00)00065-4

Boyle

Thomas

Brooks

(2016). Women’s views on partnership working with midwives during pregnancy and childbirth. Midwifery, 32, 21–29. https://doi.org/10.1016/j.midw.2015.09.001

Bridges

Nicholson

Maben

Pope

Flatley

Wilkinson

Meyer

Tziggili

(2013). Capacity for care: Meta-ethnography of acute care nurses' experiences of the nurse–patient relationship. Journal of Advanced Nursing, 69(4), 760–772. https://doi.org/10.1111/jan.12050

Coombs

M. A.

(2004). Power and conflict between doctors and nurses: Breaking through the inner circle in clinical care. Routledge.

Crowther

Smythe

(2016). Open, trusting relationships underpin safety in rural maternity a hermeneutic phenomenology study. BMC Pregnancy and Childbirth, 16(1), 370. https://doi.org/10.1186/s12884-016-1164-9

Dahlberg

(2009). The essence of essences: The search for meaning structures in phenomenological analysis of lifeworld phenomena. International Journal of Qualitative Studies on Health and Well-Being, 1(1), 11–19. https://doi.org/10.1080/17482620500478405

Dahlberg

Persen

Skogås

A. K.

Selboe

S. T.

Torvik

H. M.

Aune

(2016). How can midwives promote a normal birth and a positive birth experience? The experience of first-time Norwegian mothers. Sexual & Reproductive Healthcare, 7, 2–7. https://doi.org/10.1016/j.srhc.2015.08.001

Deery

Hunter

(2010). Emotional work and relationships in midwifery. In Kirkham

(Ed.), The midwife–mother relationship (2nd ed., pp. 37–54). Palgrave Macmillan.

10.

Dickinson

A. R.

Smythe

Spence

(2006). Within the web: The family–practitioner relationship in the context of chronic childhood illness. Journal of Child Health Care, 10(4), 309–325. https://doi.org/10.1177/1367493506067883

11.

Dixon

Skinner

Foureur

(2014). The emotional journey of labour: Women’s perspectives of the experience of labour moving towards birth. Midwifery, 30(3), 371–377. https://doi.org/10.1016/j.midw.2013.03.009

12.

Edwards

(2010). ‘There’s so much potential... and for whatever reason it’s not being realized’: Women’s relationships with midwives as a negotiation of ideology and practice. In Kirkham

(Ed.), The midwife–mother relationship (2nd ed., pp. 91–115). Palgrave Macmillan.

13.

Edwards

Mander

Murphy-Lawless

(2018). Untangling the maternity crisis. Routledge. https://doi.org/10.4324/9781315277059

14.

Eigen

(2014). The birth of experience. Karnac. https://doi.org/10.4324/9780429481185

15.

Eri

T. S.

Berg

Dahl

Gottfreðsdóttir

Sommerseth

Prinds

(2020). Models for midwifery care: A mapping review. European Journal of Midwifery, 4(30), 1–17. https://doi.org/10.18332/ejm/124110

16.

e-Stat: Portal Site of Official Statistics of Japan . (2022). Jinkō dōtai tōkei: Shussei [Digest of vital statistics: Birth]. https://www.e-stat.go.jp/stat-search/files?page=1&query=出生の場所&layout=dataset&bunya_l=02&stat_infid=000032235774&metadata=1&data=1

17.

Fujiwara

Yamaoka

Morisaki

(2016). Self-reported prevalence and risk factors for shaking and smothering among mothers of 4-month-old infants in Japan. Journal of Epidemiology, 26(1), 4–13. https://doi.org/10.2188/jea.JE20140216

18.

Gadamer

H.-G.

(1960/2013). Truth and method ( Weinsheimer

Marshall

D. G.

, Trans.). Bloomsbury Academic. https://ebookcentral.proquest.com

19.

Giles

Smythe

Spence

(2012). Exploring relationships in education: A phenomenological inquiry. Australian Journal of Adult Learning, 52(2), 214–236.

20.

Goold

S. D.

Lipkin

(1999). The doctor-patient relationship: Challenges, opportunities, and strategies. Journal of General Internal Medicine, 14(Suppl 1), S26–S33. https://doi.org/10.1046/j.1525-1497.1999.00267.x

21.

Guilliland

Pairman

(2010). The midwifery partnership: A model for practice (2nd ed.). New Zealand College of Midwives.

22.

Hall

P. J.

Foster

J. W.

Yount

K. M.

Jennings

B. M.

(2018). Keeping it together and falling apart: Women’s dynamic experience of birth. Midwifery, 58, 130–136. https://doi.org/10.1016/j.midw.2017.12.006

23.

Heidegger

(1927/2010). Being and time: A revised edition of the Stambaugh translation ( Stambaugh

, Trans.). State University of New York Press.

24.

Hildingsson

Rubertsson

(2022). The role of women’s emotional profiles in birth outcome and birth experience. Journal of Psychosomatic Obstetrics and Gynaecology, 43(3), 298–306. https://doi.org/10.1080/0167482X.2021.1885026

25.

Hooks

(2003). Teaching community: A pedagogy of hope. Routledge.

26.

Howart

Swain

Treharne

G. J.

(2011). First-time New Zealand mothers’ experience of birth: Importance of relationship and support. New Zealand College of Midwives Journal, 45, 6–11.

27.

Hunter

Berg

Lundgren

Olafsdóttir

O. A.

Kirkham

(2008). Relationships: The hidden threads in the tapestry of maternity care. Midwifery, 24(2), 132–137. https://doi.org/10.1016/j.midw.2008.02.003

28.

Husserl

(1913/2012). Ideas: General introduction to pure phenomenology ( Moran

, Trans.). Routledge. https://ebookcentral.proquest.com

29.

Janssen

P. A.

Henderson

A. D.

Vedam

(2009). The experience of planned home birth: Views of the first 500 women. Birth, 36(4), 297–304. https://doi.org/10.1111/j.1523-536X.2009.00357.x

30.

Japan Association of Obstetricians and Gynecologists . (2017). Ninsanpu mentaru herusu kea manyuaru: Sango kea eno kireme no nai sien ni mukete [Expectant and nursing mothers’ mental health care manual: Towards seamless support of postpartum care]. Japan Association of Obstetricians and Gynecologists. https://www.jaog.or.jp/wp/wp-content/uploads/2017/06/jaogmental_L_0001.pdf

31.

Karlstrom

Nystedt

Hildingsson

(2015). The meaning of a very positive birth experience: Focus groups discussions with women. BMC Pregnancy and Childbirth, 15, 251. https://doi.org/10.1186/s12884-015-0683-0

32.

Kirkham

(Ed.), (2010). The midwife–mother relationship (2nd ed.). Palgrave Macmillan.

33.

Lewis

Jones

Hunter

(2017). Women’s experience of trust within the midwife–mother relationship. International Journal of Childbirth, 7(1), 40–52. https://doi.org/10.1891/2156-5287.7.1.40

34.

Lyberg

Severinsson

(2010). Fear of childbirth: Mothers’ experiences of team-midwifery care: A follow-up study. Journal of Nursing Management, 18(4), 383–390. https://doi.org/10.1111/j.1365-2834.2010.01103.x

35.

McAra-Couper

(2007). What is shaping the practice of health professionals and the understanding of the public in relation to increasing intervention in childbirth [Doctoral dissertation. Auckland University of Technology.

36.

Menage

Bailey

Lees

Coad

(2020). Women’s lived experience of compassionate midwifery: Human and professional. Midwifery, 85, 102662. https://doi.org/10.1016/j.midw.2020.102662

37.

Merleau-Ponty

(1945/2014). Phenomenology of perception ( Landes

D. A.

, Trans.). Routledge.

38.

Ministry of Health Labour and Welfare . (2022). Shussan hiyo no jittai [The fact of materniity cost]. Ministry of Health Labour and Welfare. Retrieved from. https://www.mhlw.go.jp/content/12401000/000977521.pdf

39.

Ministry of Health Labour and Welfare . (2020). Reiwa ni nen eisei gyōsei hōkokurei (shūgyō iryō kankeisha) no gaikyō [Report on public health administration and services (employed medical personnel) 2020]. Ministry of Health Labour and Welfare. Retrieved from. https://www.mhlw.go.jp/toukei/saikin/hw/eisei/20/

40.

Ministry of Health Labour and Welfare . (2021). Kodomo gyakutai ni yoru shibou jirei tou no kensyou kekka tou ni tsuite [Results of verification of cases of child abuse deaths]. Ministry of Health Labour and Welfare. Retrieved from. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000190801_00002.html

41.

Murray-Davis

McDonald

Rietsma

Coubrough

Hutton

(2014). Deciding on home or hospital birth: Results of the Ontario Choice of Birthplace Survey. Midwifery, 30(7), 869–876. https://doi.org/10.1016/j.midw.2014.01.008

42.

Nakagawa

(2001). Eastern philosophy and holistic education. In Miller

J. P.

Nigh

Binder

M. J.

Novak

Crowell

(Eds.), International handbook of holistic education (pp. 42–50). Routledge.

43.

Nilsson

Lundgren

(2009). Women’s lived experience of fear of childbirth. Midwifery, 25(2), e1–e9. https://doi.org/10.1016/j.midw.2007.01.017

44.

Noseworthy

D. A.

Phibbs

S. R.

Benn

C. A.

(2013). Towards a relational model of decision-making in midwifery care. Midwifery, 29(7), e42–e48. https://doi.org/10.1016/j.midw.2012.06.022

45.

Parry

D. C.

(2008). “We wanted a birth experience, not a medical experience”: Exploring Canadian women’s use of midwifery. Health Care for Women International, 29(8), 784–806. https://doi.org/10.1080/07399330802269451

46.

Pazandeh

Potrata

Huss

Hirst

House

(2017). Women’s experiences of routine care during labour and childbirth and the influence of medicalisation: A qualitative study from Iran. Midwifery, 53, 63–70. https://doi.org/10.1016/j.midw.2017.07.001

47.

Perkins

J. M.

Subramanian

S. V.

Christakis

N. A.

(2015). Social networks and health: A systematic review of sociocentric network studies in low- and middle-income countries. Social Science and Medicine, 125, 60–78. https://doi.org/10.1016/j.socscimed.2014.08.019

48.

Rodríguez-Almagro

Hernández-Martínez

Rodríguez-Almagro

Quirós-García

J. M.

Martínez-Galiano

J. M.

Gómez-Salgado

(2019). Women’s perceptions of living a traumatic childbirth experience and factors related to a birth experience. International Journal of Environmental Research and Public Health, 16(9), 1654. https://doi.org/10.3390/ijerph16091654, https://www.mdpi.com/1660-4601/16/9/1654

49.

Rothman

B. K.

(1996). Women, providers, and control. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25(3), 253–256. https://doi.org/10.1111/j.1552-6909.1996.tb02433.x

50.

Safran

D. G.

Miller

Beckman

(2006). Organizational dimensions of relationship-centered care. Theory, evidence, and practice. Journal of General Internal Medicine, 21(Suppl 1), S9–S15. https://doi.org/10.1111/j.1525-1497.2006.00303.x

51.

Smythe

(2011). From beginning to end: How to do hermeneutic interpretive phenomenology. In Thomson

Dykes

Downe

(Eds.), Qualitative research in midwifery and childbirth phenomenological approaches (pp. 35–54). Routledge.

52.

Suzuki

Takeda

Okano

Kinoshita

(2018). Recent strategies in perinatal mental health care in Japan. Hypertension Research In Pregnancy, 6(1), 11–14. https://doi.org/10.14390/jsshp.HRP2018-006

53.

Takeda

(2017). Ninsanpu no jisatsu: Sono jittai [suicide of expectant and nursing mothers: The actual situation]. Japan Association of Obstetricians and Gynecologists. Retrieved 2022 Nov 22 from https://www.jaog.or.jp/wp/wp-content/uploads/2017/11/11643745157d48555ead55ae19d42a0a.pdf

54.

Tokumitsu

Sugawara

Maruo

Suzuki

Shimoda

Yasui-Furukori

(2020). Prevalence of perinatal depression among Japanese women: A meta-analysis. Annals of General Psychiatry, 19, 41. https://doi.org/10.1186/s12991-020-00290-7

55.

Tsai

A. C.

Papachristos

A. V.

(2015). From social networks to health: Durkheim after the turn of the millennium. Social Science and Medicine, 125, 1–7. https://doi.org/10.1016/j.socscimed.2014.10.045

56.

Tsuno

Okawa

Matsushima

Nishi

Arakawa

Tabuchi

(2022). The effect of social restrictions, loss of social support, and loss of maternal autonomy on postpartum depression in 1 to 12-months postpartum women during the COVID-19 pandemic. Journal of Affective Disorders, 307, 206–214. https://doi.org/10.1016/j.jad.2022.03.056

57.

UNICEF [UNICEF] . (2018). Japan is the safest place to be born according to our new report [Tweet]. https://twitter.com/unicef/status/974571091132911616

58.

United Nations Children’s Fund . (2021). Maternal mortality. https://data.unicef.org/topic/maternal-health/maternal-mortality/

59.

United Nations Children’s Fund . (2023). Neonatal mortality. https://data.unicef.org/topic/child-survival/neonatal-mortality/

60.

van Manen

(2014). Phenomenology of practice: Meaning-giving methods in phenomenological research and writing. Left Coast Press.

61.

van Manen

(2016a). Researching lived experience (2nd ed.). Routledge.

62.

van Manen

(2016b). The tone of teaching (2nd ed.). Routledge.

63.

World Health Organization . (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/

Attuning to the World of Peace of Mind and Trust: Women’s Lived Experience of the Woman–Midwife Relationship in Japan

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