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


part I|84 pages

Influencing factors underpinning midwives’ decision-making

chapter 1|13 pages

Midwifery and decision-making theories

chapter 2|11 pages

Midwifery regulation

Global perspective

chapter 3|10 pages

Legal issues in midwifery care

chapter 4|7 pages

Doing good

Ethics of decision-making in midwifery care

chapter 6|11 pages

Midwifery abdication

chapter 7|13 pages

Critical thinking

part II|107 pages

Translating theory into practice

chapter 9|14 pages

Decision-making in perinatal mental health

What are the challenges?

chapter 11|17 pages

Enhanced decision-making in midwifery

Care for pregnant and parenting adolescents

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

chapter 15|9 pages

Third stage of labour and optimal cord clamping

Implications for midwives’ decision-making

chapter 16|10 pages

Choices after traumatic birth

chapter 17|12 pages

Stillbirth and midwives’ decision-making

What are the challenges?

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

chapter 21|11 pages

The Doula-midwife partnership

Friend or foe – how to work collaboratively

chapter 24|10 pages

Proactive behaviour in midwifery education and practice

A pre-request for shared decision-making