Table 4 Interpretative themes
Review finding | Theme |
|---|---|
Policies and guidelines can be facilitative and prompt implementation of birth pool use Policies and guidelines are often risk averse and do not reflect women's experiences | The paradox of prescriptiveness |
Education, training, mentorship, and experience leads to knowledge, competence, and confidence in facilitating birth pool use The elusive experienced practitioner | The experienced but elusive practitioner |
Water immersion is a midwifery option in demand that facilitates physical and psychological benefits and physiological birth Resistance stems from fear, lack of experience and support and the view that labour and birth are inherently risky | Trust or trepidation |
Midwifery champions The importance of medical and organisational support | Advocacy and tensions |
Women must actively seek and request water immersion Infrastructure, cost, and concerns inhibit implementation and accessibility | It’s your choice, but only if it is a choice |