Intrapartum risk perception–A qualitative exploration of factors affecting the risk perception of midwives and obstetricians in the clinical setting

Abstract

Objectiveto gain an in-depth view of the specific risk perception of midwives and obstetricians, in order to achieve a deeper understanding of the situations which midwives and obstetricians perceive as risky and of the factors affecting their risk perception. Designa qualitative approach using focus group discussions was used as part of the first strand within a sequential explorative mixed methods project. Participants24 midwives and obstetricians providing labour care in the clinical setting Analysisaccording to qualitative content analysis. Findingsboth external and internal factors were identified which potentially influence the risk perception of midwives and obstetricians: (i) the individual perception of the obstetric health professional, (ii) the dyad of obstetric health professional & woman, (iii) being part of a team and (iv) being part of an institution. While risk definitions/classifications and obstetric risk factors were less common topics, structural and organisational factors, such as lack of staff and excessive workload, dominated the discussions about risky situations in the delivery room. Key conclusionObstetric health professionals’ risk perception is multifactorial and risky situations in the delivery room can be described as a complex construct of various factors. The results suggest that there are different forms of risk perception and different factors which are perceived as risky. Implications for practiceReflection on one's own role and actions should be included in the training of obstetric professionals and also be maintained in everyday professional life.