Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice.

This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points.

Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

chapter |2 pages


Edited ByElaine Jefford, Julie Jomeen

part Part I|84 pages

Influencing factors underpinning midwives’ decision-making

chapter 1|13 pages

Midwifery and decision-making theories

Edited ByElaine Jefford

chapter 2|11 pages

Midwifery regulation

Global perspective
ByMary Kirk

chapter 3|10 pages

Legal issues in midwifery care

ByJanet Kelly

chapter 4|7 pages

Doing good

Ethics of decision-making in midwifery care
ByMarianne Nieuwenhuijze

chapter 6|11 pages

Midwifery abdication

Edited ByElaine Jefford, Julie Jomeen

chapter 7|13 pages

Critical thinking

ByAmanda Carter

part Part II|107 pages

Translating theory into practice

chapter 9|14 pages

Decision-making in perinatal mental health

What are the challenges?
ByClaire Marshall, Catriona Jones, Julie Jomeen

chapter 10|8 pages

Stress urinary incontinence in pregnancy and collaborative decision-making

ByJinguo Helen Zhai, Elaine Jefford

chapter 11|17 pages

Enhanced decision-making in midwifery

Care for pregnant and parenting adolescents
BySamantha Nolan, Joyce Hendricks

chapter 12|13 pages

Deciding to transfer

Tools to navigate the crossroads of expectations, values and models of care when making transfer decisions at a midwifery birth center
ByJennifer Stevens

chapter 13|12 pages

Decision-making around pain and its management during labour and birth

BySigfríður Inga Karlsdóttir, Elizabeth Newnham, Hildur Kristjánsdóttir, Ruth Sanders

chapter 14|10 pages

Midwives’ decision-making for fetal heart monitoring

ByRobyn Maude

chapter 15|9 pages

Third stage of labour and optimal cord clamping

Implications for midwives’ decision-making
ByAmanda Burleigh, Elaine Jefford

chapter 16|10 pages

Choices after traumatic birth

ByMari Greenfield

chapter 17|12 pages

Stillbirth and midwives’ decision-making

What are the challenges?
ByJane Warland, Claire Foord

part Part III|90 pages

Decision-making within the context of the socially and culturally constructed maternity care environment

chapter 18|12 pages

Midwifery decision-making

Feeling safe to support women’s choice in the maternity care environment
ByLyn Ebert

chapter 19|9 pages

Woman centred-care and shared decision-making in midwifery care

ByMarianne Nieuwenhuijze

chapter 20|10 pages

Collaborative decision-making from a woman’s perspective

ByDaniela Drandic´, Magdalena Kurbanovic´

chapter 21|11 pages

The Doula-midwife partnership

Friend or foe – how to work collaboratively
Edited ByElaine Jefford, Renee Adair, Tina Morrison, Hannah Dahlen

chapter 22|10 pages

Collaborative decision-making in maternity care

ByMarianne Nieuwenhuijze, Jeroen van Dillen

chapter 23|14 pages

Do personality traits impact upon midwives’ decision-making and practice?

BySteve Provost, Anna Smyth, Thejal Rupnarain, Shahna Mailey, Harvey Ward, Elaine Jefford

chapter 24|10 pages

Proactive behaviour in midwifery education and practice

A pre-request for shared decision-making
ByEveline Mestdagh