title: Being a homebirth midwife in the Nordic countries - a phenomenological study.
abstract: OBJECTIVE
  To describe the lived experience of being a homebirth midwife in the Nordic countries.
  
  
  METHODS
  Interviews conducted with 21 homebirth midwives from the five Nordic countries were analyzed with a phenomenological approach.
  
  
  RESULTS
  The essential structure of being a homebirth midwife in the Nordic countries can be understood as realizing altruistic values and fulfilling one's own desires for working life, by facilitating the desires of the women giving birth. By being "active-passive" - using all her senses and letting her intuition lead her - the midwife supports women during labor and birth. Medical skills, evidence-based knowledge and experience are important for providing the optimal care in each situation. Further this becomes the midwife's chosen lifestyle, which alters her own self, making her available to assist the mother-to-be in fulfilling her wishes for a good birth. Finally, being able to use one's own full potential during a home birth is experienced as the ideal way of working as a midwife, practicing the art of midwifery.
  
  
  CONCLUSIONS
  The experience of being a homebirth midwife in the Nordic countries includes making an adaption to a lifestyle that is considered the basis for a satisfactory and rewarding way of working. A sense of fulfillment is achieved through experiencing the possibility to work according to one's own ideals concerning the art of midwifery. The beliefs about a woman's ability to give birth and understanding the importance of a positive birth for both the mother and the newborn baby are essential.
authors: Faculty of Health and Society, Malmö University, Malmö, Sweden; Skåne University Hospital, Lund, Sweden. Electronic address: ingela.sjoblom@mah.se.
authors: Ingela
authors: I
authors: Sjöblom
authors: Department of Health and Caring Science, The Sahlgrenska Academy, University of Gothenburg, Sweden.
authors: Ingela
authors: I
authors: Lundgren
authors: Faculty of Health and Society, Malmö University, Malmö, Sweden; Skåne University Hospital, Lund, Sweden.
authors: Ewa
authors: E
authors: Idvall
authors: Department of Women's and Children's Health, Karolinska Institutet, Sweden.
authors: Helena
authors: H
authors: Lindgren
mesh_terms: D000533:Altruism; D001291:Attitude of Health Personnel; D005260:Female; D006700:Home Childbirth; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D008019:Life Style; D008880:Midwifery; D010549:Personal Satisfaction; D011247:Pregnancy; D012537:Scandinavian and Nordic Countries; D014937:Work / Q000523:psychology*
keywords: Altruism; Art of midwifery; Home birth; Midwife; Relationship