title: Midwifing the notion of a 'good' birth: a philosophical analysis.
abstract: OBJECTIVE
  to ponder afresh what makes a good birth experience in a listening manner.
  
  
  METHODS
  a hermeneutic approach that first explores the nature of how to listen to a story that is already familiar to us and then draws on Heidegger's notion of the fourfold to seek to capture how the components of a'good birth' come together within experience.
  
  
  METHODS
  primary birthing centre, New Zealand
  
  
  METHODS
  the focus of this paper is the story of one participant. It was her second birth; her first birth involved a lot of medical intervention. She had planned to travel one hour to the tertiary birthing unit but in labour chose to stay at the Birth Centre. Her story seems to portray a 'very good birth'.
  
  
  RESULTS
  in talking of birth, the nature of a research approach is commonly to focus on one aspect: the place, the care givers, or the mode of care. In contrast, we took on the challenge of first listening to all that was involved in one woman's story. We came to see that what made her experience 'good' was'everything' gathered together in a coherent and supportive oneness. Heidegger's notion of the fourfold helped reveal that one cannot talk about one thing without at the same time talking about all the other things as well. Confidence was the thread that held the story together.
  
  
  CONCLUSIONS
  there is value in putting aside the fragmented approach of explicating birth to recognise the coming together of place, care, situation, and the mystery beyond explanation. Women grow a confidence in place when peers and community encourage the choice based on their own experience. Confidence of caregiver comes in relationship. Feeling confident within 'self' is part of the mystery. When confidence in the different dimensions holds together, birth is 'good'. IMPLICATIONS OR PRACTICE: one cannot simply build a new birthing unit and assume it will offer a good experience of birth. Experience is about so much more. Being mindful of the dimensions of confidence that need to be built up and sheltered is a quest for wise leaders. Protecting the pockets where we know 'good birth' already flourishes is essential.
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand. Electronic address: Liz.smythe@aut.ac.nz.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Smythe
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand.
authors.forename: Marion
authors.initials: M
authors.lastname: Hunter
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand.
authors.forename: Jackie
authors.initials: J
authors.lastname: Gunn
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand; Faculty of Health and Social Care, Robert Gordon University, Garthdee Road, Aberdeen, AB10 7AQ, UK.
authors.forename: Susan
authors.initials: S
authors.lastname: Crowther
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand.
authors.forename: Judith McAra
authors.initials: JM
authors.lastname: Couper
authors.affiliation: Warkworth Birthing Centre, 56 View Road, Warkworth, New Zealand.
authors.forename: Sally
authors.initials: S
authors.lastname: Wilson
authors.affiliation: Auckland University of Technology, P O Box 92006, Auckland 1142, New Zealand.
authors.forename: Deborah
authors.initials: D
authors.lastname: Payne
mesh_terms: D016550:Birthing Centers / Q000592:standards; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008016:Life Change Events; D008880:Midwifery / Q000379:methods / Q000592:standards*; D009520:New Zealand; D036801:Parturition / Q000523:psychology*; D010684:Philosophy; D011247:Pregnancy; D036301:Qualitative Research
keywords: Confidence; Heidegger; Hermeneutics; Normal birth; Place of birth