Freebirthing: A case for using interpretative hermeneutic phenomenology in midwifery research for knowledge generation, dissemination and impact

Abstract

This study explored women’s reasons for and their experiences of decision-making that related to the phenomenon of freebirthing within the UK. Freebirthing is the active choice to birth without a health professional present, even where there is access to maternity care. Ten women were recruited to participate in an interpretative hermeneutic phenomenological
study. Data was collected via written narratives and follow up interviews. The findings revealed direct implications for midwifery practice, namely that the complex and nuanced reasons to freebirth were often related to a previous birth trauma or negative interactions with maternity professionals. Additional findings revealed that women faced distressing opposition and conflict from midwives in relation to their decision to freebirth, despite its current legality in the UK. These findings have been published elsewhere. However, the purpose of this paper is twofold; firstly, using my research into freebirthing as a case study, I will demonstrate the use and benefits of interpretative hermeneutic phenomenology to midwifery and nursing research to generate knowledge for the benefit of service users, healthcare professionals, researchers and policy-makers. Secondly, I will discuss the activities I carried out to enhance dissemination and impact for the benefit of service users and clinicians.