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Nursing Research and Practice
Volume 2012, Article ID 121360, 11 pages
http://dx.doi.org/10.1155/2012/121360
Research Article

Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations

1Department of Education and Sports Science, Faculty of Arts and Education, University of Stavanger, 4036 Stavanger, Norway
2Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, 40530 Gothenburg, Sweden
3Department of Health Studies, Faculty of Social Sciences, University of Stavanger, 4036 Stavanger, Norway

Received 3 January 2012; Accepted 22 February 2012

Academic Editor: Linda Moneyham

Copyright © 2012 Christina Furskog Risa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication in midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the pregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the conversation. Methods. This paper was undertaken in four hospital outpatient clinics in Norway. Ten antenatal consultations between midwives and pregnant women were audiotaped, transcribed to text, and analyzed using theme-oriented discourse analysis. Two communicative patterns were revealed: an expert's frame and a shared experts' frame. Within each frame, different communicative variations are presented. The topics women initiated in the conversations were (i) delivery, time and mode; (ii) previous birth experience; (iii) labor pain; and (iv) breast feeding, diabetes management, and fetal weight. Conclusion. Different ways of communicating seem to create different opportunities for the parties to share each other's perspectives. Adequate responses and a listening attitude as well as an ambiguous way of talking seem to open up for the pregnant women's perspectives. Further studies are needed to investigate the obstacles to, and premises for, providing midwifery care in a specialist outpatient setting.