{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T21:41:22Z","timestamp":1768340482791,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T00:00:00Z","timestamp":1726876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The transition from first to second stage of labor is poorly understood. While the onset of second stage is defined by cervical measurement, dilation cannot be directly sensed or externally observed. Thus, uncertainty exists when women report pushing urges before dilation is confirmed. This study aimed to explore how sensations of pushing and uncertainty over progress are interactionally managed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We audio\/video recorded the labors of 37 women in two midwife\u2010led units in England. Our analysis focused on a subset of 28 recordings that featured discussion of transition from first to second stage of labor. The interactions between midwives, laboring women and their birth partners were transcribed and analyzed using conversation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified a \u2018pushing until proven otherwise\u2019 rule granting temporary, contingent authority to bodily urges to push while tracking progress over time. Specifically, midwives supported reported pushing sensations without insisting on examinations. Caution was occasionally expressed in distinguishing between irresistible and forced pushing. Across multiple contractions, midwives watched and waited for alignment of sensations with signs of descent. Where signs of progress were absent over time, examinations were treated as clinically indicated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Thus, a complex interplay of women's sensations and midwifery expertise produced care. Compared to past research, our analysis demonstrates increased validation of embodied experience in contemporary midwife\u2010led practice. However, uncertainty still requires navigation through collaborative work. We evidence how this navigation is accomplished in real\u2010time interactions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12855","type":"journal-article","created":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T10:04:48Z","timestamp":1726913088000},"page":"825-834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Just go with your body? A conversation analytic study of the transition from first to second stage of labor in <scp>UK<\/scp> midwife\u2010led care"],"prefix":"10.1111","volume":"51","author":[{"given":"Clare","family":"Jackson","sequence":"first","affiliation":[{"name":"Department of Sociology University of York  York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Si\u00e2n","family":"Beynon\u2010Jones","sequence":"additional","affiliation":[{"name":"Department of Sociology University of York  York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.05.008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2017.07.011"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1511-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003001393"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1108\/9781800717435"},{"issue":"2","key":"e_1_2_10_7_1","first-page":"225","article-title":"The transitional stage of labour","volume":"16","author":"Woods T","year":"2006","journal-title":"MIDIRS Midwifery Digest"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12607"},{"key":"e_1_2_10_9_1","unstructured":"National Institute for health and clinical excellence.Intrapartum care for healthy women and babies. NICE Clinical Guidelines 1902014.https:\/\/www.nice.org.uk\/guidance\/cg190"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010088.pub3"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.BPOBGYN.2020.03.012"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.04.004"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.MIDW.2012.09.010"},{"key":"e_1_2_10_14_1","first-page":"129","volume-title":"Normal Childbirth. 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An inquiry into racial injustice and human rights in UK maternity care.2022. [online] Available athttps:\/\/www.birthrights.org.uk\/campaigns\u2010research\/racial\u2010injustice\/"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12462"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12855","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T04:17:43Z","timestamp":1731644263000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,21]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/birt.12855"],"URL":"https:\/\/doi.org\/10.1111\/birt.12855","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,21]]},"assertion":[{"value":"2023-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}