“The Best of Both Worlds” a content analysis of midwives’ perspectives on using ultrasound for labour progress assessment

Midwives in labour wards at high-tech hospitals have witnessed significant technological advancements. Ultrasound devices for assessing labour progress may offer advantages over traditional vaginal examinations. However, it is important to examine the views of care providers before introducing this new technology. The aim is to examine the views of midwives working in a hospital labour ward regarding the use of ultrasound devices in assessing the progress of labour and explore their views of implementing such a technology to improve care for women during labour. A qualitative study was conducted, using three semi structured focus groups interviews with 16 midwives from the hospital labour ward. A purposive sample was used to capture diverse backgrounds and experiences. Content analysis was used to identify key categories and subcategories. Two main categories emerged: 1) "Art of midwifery and technology," including a debate between clinical skills and technology, midwives' openness to learning, and their desire to control implementation; 2) "Women and babies come first," highlighting the importance of options, safety, and the connection with the woman. Midwives support evidence-based technological advancements that benefit clients without increasing unnecessary interventions. They believe ultrasound complements traditional vaginal exams and is a valuable option for certain groups of women. Midwives need to be involved in the implementation of new methods to ensure client well-being. Further research is needed to evaluate the benefits of using ultrasound for labour progress assessment.