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Altaweli et al 2019 Birth

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Received: 3 May 2018 DOI: 10.1111/birt.12395 | Revised: 20 August 2018 | Accepted: 20 August 2018 ORIGINAL ARTICLE Ethnographic study of the use of interventions during the second stage of labor in Jeddah, Saudi Arabia Roa Altaweli MSc, PhD1 | Christine McCourt PhD2 Katherine Curtis Tyler MA, PhD3 1 East Jeddah Hospital, Jeddah, Saudi Arabia 2 Department of Maternal and Child Health, School of Health Sciences, City, University of London, London, UK 3 School of Health Sciences, City, University of London, London, UK Correspondence Roa Altaweli, East Jeddah Hospital, Jeddah, Saudi Arabia. Email: Roa.altaweli@gmail.com Funding information Ministry of Education, Saudi Arabia, Scholarship | Mandie Scamell MA, PhD3 | Abstract Background: Routine use of medical interventions during labor has been identified as a clinical area for concern, since such routinized practice is not consistent with an evidence‐based approach to care and continues to increase despite efforts to encourage normal childbirth. Therefore, the aim of our study was to explore maternity health professionals’ use of interventions during the second stage of labor in two hospitals in Jeddah, Saudi Arabia, to understand what influences their decision‐making and practices. Methods: This was an exploratory study using an ethnographic approach. Data collection methods included participant observations of 19 labors and births (n = 8 at City Hospital and n = 11 at King’s Hospital) and semi‐struct ...
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