Table 2.
Case site | University hospital | Mid-level hospital | Community hospital |
---|---|---|---|
Individual interviews | Chief midwife | Chief midwife | Chief midwife |
Deputy chief midwife | Deputy chief midwife | Deputy chief midwife | |
Obstetrician *,** | Caseload midwifery group C*** | Caseload group G*** | |
• One obstetrician > 10 years’ experience | [2 midwives working with first-time mothers] | • One midwife > 10 years’ experience | |
• One midwife < 5 years’ experience, One midwife > 10 years’ experience | |||
Group interviews | Caseload group A | Caseload group D | Caseload group F |
[3 midwives working with primiparas + women planning early discharge + all planned homebirths in hospital catchment area] | [3 midwives working with vulnerable/socially disadvantaged mothers] | [3 midwives working with all women in a specific geographical area] | |
• Two midwives > 10 years’ experience | • One < 5 years’ experience | • One < 5 years’ experience | |
Total: 2 participants | Two > 5 years’ experience | Two > 10 years’ experience | |
Total: 3 participants | Total: 3 participants | ||
Caseload group B | Caseload group E | Caseload group G | |
[2 midwives working with primiparas + women who plan early discharge + all planned homebirths in hospital catchment area] | [3 midwives working with first-time mothers] | [3 midwives working with all women in a specific geographical area] | |
• One < 5 years’ experience | • Two < 5 years’ experience | • One < 5 years’ experience | |
One > 10 years’ experience | Total: 2 participants | One > 10 years’ experience | |
Total: 2 participants | Total 2 participants | ||
Ward midwives | Ward midwives | Ward midwives | |
• One < 5 years’ experience, | • Two < 5 years’ experience | • Two > 5 years’ experience | |
Two > 5 years’ experience | One > 5 years’ of experience | One > 10 years’ experience | |
Total: 3 participants | One > 10 years’ experience | Total: 3 participants | |
Total: 4 participants | |||
Health visitors* | Obstetricians* | Obstetricians* | |
• One < 5 years’ experience, | • One < 5 years’ experience | • One < 5 years’ experience | |
One > 5 years’ experience | One > 5 years’ experience | One > 5 years’ experience | |
One > 10 years’ experience | One > 10 years’ experience | One > 10 years’ experience | |
Total: 3 participants | Total: 3 participants | Total: 3 participants | |
Health visitors* | Health visitors* | ||
• One > 5 years’ experience | • Two > 10 years’ experience | ||
Two > 10 years’ experience | One student | ||
Total: 3 participants | Total: 3 participants |
*Very limited reporting of data from interviews with obstetricians and health visitors in this analysis. The interviews showed that other professional groups played an extremely limited role in the negotiation process, possibly because the introduction of caseload midwifery involved no significant changes in the distribution of tasks among midwives and related professionals
**Obstetricians single-handedly decided that an individual interview with key representative of the group was most appropriate due to limited knowledge of the introduction of caseload midwifery among obstetricians in general and work pressures at time of data collection
***Practical conditions dictated that interviews were individual