Phase model for the acquisition of practice-based knowledge by midwives from experience in labor and delivery care

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The purpose of this study was to articulate the phase model for the acquisition of practice-based knowledge by midwives from their experience in labor and delivery care. Data were collected from midwives working at hospital or maternity home through interview and questionnaire survey. Data from selected 475 respondents were statistically analyzed to examine if there was relationship between the number of years in midwifery and the types of practice-based knowledge acquired. Knowledge and skills acquired significantly more by those with at least ten years of experience related to how to determine if the labor progress was normal or not and how to respect the pregnant woman’s emotions and keep her emotionally stable. They acquired these knowledge and skills from the experience of assessing the fetal weight by palpation and assisti ng delivery without perineal protection. Those under ten years of experience had significantly higher scores in learning the importance of ensuring that the delivery should take its natural course and of maintaining good communication with the pregnant woman. They acquired this knowledge from the experience of witnessing the work of senior midwives and having a habit of reflecting own performance.