title: A methodological review of qualitative case study methodology in midwifery research.
abstract: OBJECTIVE
  To explore the use and application of case study research in midwifery.
  
  
  BACKGROUND
  Case study research provides rich data for the analysis of complex issues and interventions in the healthcare disciplines; however, a gap in the midwifery research literature was identified.
  
  
  METHODS
  A methodological review of midwifery case study research using recognized templates, frameworks and reporting guidelines facilitated comprehensive analysis.
  
  
  METHODS
  An electronic database search using the date range January 2005-December 2014: Maternal and Infant Care, CINAHL Plus, Academic Search Complete, Web of Knowledge, SCOPUS, Medline, Health Collection (Informit), Cochrane Library Health Source: Nursing/Academic Edition, Wiley online and ProQuest Central.
  
  
  METHODS
  Narrative evaluation was undertaken. Clearly worded questions reflected the problem and purpose. The application, strengths and limitations of case study methods were identified through a quality appraisal process.
  
  
  RESULTS
  The review identified both case study research's applicability to midwifery and its low uptake, especially in clinical studies. Many papers included the necessary criteria to achieve rigour. The included measures of authenticity and methodology were varied. A high standard of authenticity was observed, suggesting authors considered these elements to be routine inclusions. Technical aspects were lacking in many papers, namely a lack of reflexivity and incomplete transparency of processes.
  
  
  CONCLUSIONS
  This review raises the profile of case study research in midwifery. Midwives will be encouraged to explore if case study research is suitable for their investigation. The raised profile will demonstrate further applicability; encourage support and wider adoption in the midwifery setting.
authors.affiliation: Centre for Midwifery, Child and Family Health, University of Technology Sydney, New South Wales, Australia.
authors.forename: Marjorie
authors.initials: M
authors.lastname: Atchan
authors.affiliation: Faculty of Health, ACT Health Directorate and University of Canberra, University of Canberra, Australian Capital Territory, Australia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Davis
authors.affiliation: Centre for Midwifery, Child and Family Health, University of Technology Sydney, New South Wales, Australia.
authors.forename: Maralyn
authors.initials: M
authors.lastname: Foureur
mesh_terms: D005260:Female; D006801:Humans; D008880:Midwifery; D011247:Pregnancy; D036301:Qualitative Research
keywords: case study research; maternity; methodological review; methodology; midwifery; midwives; qualitative research