Affiliating Through Agreements: The Context of Antenatal Consultations

Eleni PETRAKI, Shannon CLARK

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    In the field of antenatal care, there is limited research studying communication between midwives and pregnant women in authentic consultations. This paper addresses this research gap. Based on transcripts of 16 antenatal consultations from a private obstetric practice, we examine agreements as examples of affiliation in the consultations. Using conversation analysis, we discuss ways that agreement is accomplished in this institutional setting. We identify clusters of back-to-back agreements between midwives and women and upgraded and high-grade agreements. Through agreements, midwives validate and endorse women¿s knowledge while also claiming their own knowledge about issues of pregnancy. Through these conversational strategies, the midwives enact institutionally relevant goals of providing support and treating the woman as having knowledge and expertise about her body and pregnancy, goals which are aligned with clinical practice guidelines for antenatal care and the code of ethics for midwives.
    Original languageEnglish
    Pages (from-to)273-289
    Number of pages17
    JournalAustralian Journal of Linguistics
    Volume36
    Issue number2
    DOIs
    Publication statusPublished - 2016

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    midwife
    pregnancy
    conversation analysis
    communication research
    expertise
    moral philosophy
    Midwives
    Pregnancy

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    abstract = "In the field of antenatal care, there is limited research studying communication between midwives and pregnant women in authentic consultations. This paper addresses this research gap. Based on transcripts of 16 antenatal consultations from a private obstetric practice, we examine agreements as examples of affiliation in the consultations. Using conversation analysis, we discuss ways that agreement is accomplished in this institutional setting. We identify clusters of back-to-back agreements between midwives and women and upgraded and high-grade agreements. Through agreements, midwives validate and endorse women¿s knowledge while also claiming their own knowledge about issues of pregnancy. Through these conversational strategies, the midwives enact institutionally relevant goals of providing support and treating the woman as having knowledge and expertise about her body and pregnancy, goals which are aligned with clinical practice guidelines for antenatal care and the code of ethics for midwives.",
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    Affiliating Through Agreements: The Context of Antenatal Consultations. / PETRAKI, Eleni; CLARK, Shannon.

    In: Australian Journal of Linguistics, Vol. 36, No. 2, 2016, p. 273-289.

    Research output: Contribution to journalArticle

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