M. Sinclair et J. Gardner, Midwives' perceptions of the use of technology in assisting childbirth in Northern Ireland, J ADV NURS, 36(2), 2001, pp. 229-236
Aim of the paper. The aim of this paper is to report a survey of midwives'
views on Aim the use of technology in assisting births.
Background. The research was designed to provide a deeper understanding of
the integration of technology into midwives' practice and to identify and e
xamine aspects of training needs.
Methods. Over 400 midwives responded to a questionnaire seeking information
on their experiences and perceived competence with labour ward technology,
with a particular focus on the use of cardiotocograph machines (CTGs) for
electronic foetal monitoring. The survey sought views on the extent to whic
h midwives trust the technology, their perceived levels of training and com
petence, their awareness of policy relating to technological intervention a
nd the issue of women's choice in whether the progress of their delivery is
technologically monitored.
Findings. The majority of midwives in this survey trust the use of technolo
gy but have concerns about issues of safety in relation to potential faults
, and to their perceived lack of training in technology usage. The majority
also indicated that they prefer a nontechnological birth although many poi
nt to the benefits of technological support when difficulties are encounter
ed. The use of technology is seen as multi-professional and there was much
support among the respondents for multidisciplinary training in the use of
technologies in future curricula.
Conclusions. If the various findings of this sample survey were to be conso
lidated for midwives as a whole, they suggest that provisions for continuin
g professional development may need to address technological awareness and
competence in a more focused manner than is discernible at present.