title: Midwives' navigation and perceived power during decision-making related to augmentation of labour.
abstract: OBJECTIVE
  to explore and understand how midwives perceive and experience decision-making about augmentation of labour.
  
  
  METHODS
  focus-group discussions.
  
  
  METHODS
  Stockholm, Sweden.
  
  
  METHODS
  20 midwives experienced in working in labour wards.
  
  
  RESULTS
  five categories were identified that illustrate the factors considered by the midwives to influence decision-making during augmentation of labour: 'regulations and guidelines'; 'shortage of delivery rooms'; 'influence of obstetricians'; 'women in labour'; and 'midwives' professional selves'. The theme identified was how midwives managed to 'navigate' these factors, which provided midwives with a decisive influence during the decision-making process.
  
  
  CONCLUSIONS
  midwife job satisfaction can result from a sense of professional power over the possibility of navigating factors that influence decision-making during augmentation of labour. This sense of power can subsequently influence co-operation with both obstetricians and women during labour.
authors.affiliation: Department of Woman and Child Health, Karolinska Institutet, Stockholm, SE-171 77, Sweden. sabine.blix-lindstrom@ki.se
authors.forename: Sabine
authors.initials: S
authors.lastname: Blix-Lindström
authors.forename: Eva
authors.initials: E
authors.lastname: Johansson
authors.forename: Kyllike
authors.initials: K
authors.lastname: Christensson
mesh_terms: D002983:Clinical Competence; D005260:Female; D006801:Humans; D007587:Job Description; D007588:Job Satisfaction; D007751:Labor, Induced / Q000451:nursing*; D008880:Midwifery / Q000458:organization & administration*; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration; D010120:Oxytocics; D010687:Philosophy, Nursing; D019555:Physician-Nurse Relations; D011209:Power, Psychological; D017009:Professional Autonomy; D011795:Surveys and Questionnaires; D013548:Sweden
chemical_list: D010120:Oxytocics