ABSTRACT
OBJECTIVE: to describe women's experience of the encounter with the midwife during childbirth. DESIGN: a qualitative study using a phenomenological approach. Data were collected via tape-recorded interviews. SETTING: the Alternative Birth Care Centre, Sahlgrenska University Hospital, Gothenburg, Sweden in 1994. PARTICIPANTS: 18 women, six primiparous and 12 multiparous who were two to four days post delivery. KEY FINDINGS: the essential structure of the studied phenomenon was described as 'presence' and included three themes: to be seen as an individual, to have a trusting relationship and to be supported and guided on one's own terms. IMPLICATIONS FOR PRACTICE: the need to be seen as an individual can be realised by affirmation and familiarity with the midwife and surroundings. A trusting relationship can be obtained by good communication and proficient behaviour. By providing a sense of control the women can be supported and guided on their own terms. Above all they must feel that the midwife is present.
