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

• Published in: Qualitative health research 2024-08, Vol.34 (10), p.964-976
• Main Authors: Doering, Keiko, McAra-Couper, Judith, Gilkison, Andrea
• Format: Article
• Language: English
• Subjects: Adult; Birth experiences; Child & adolescent mental health; Childbirth & labor; Continuity of care; Exegesis & hermeneutics; Female; Health care; Humans; Interviews as Topic; Japan; Maternal child nursing; Maternal depression; Maternal Health Services - organization & administration; Meaning; Mental health; Midwifery; Midwives; Mothers; Mothers - psychology; Nurse-Patient Relations; Peace; Postpartum depression; Postpartum period; Pregnancy; Pregnant Women - psychology; Psychological well being; Qualitative Research; Trust; Well being; Women
• ISSN: 1049-7323; 1552-7557
• DOI: 10.1177/10497323241226568

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.