Ebelikte Ortaklık Modeli: Tarihsel Gelişim, Kuramsal Temeller ve Temel Bileşenler

Abstract

Midwifery Partnership Model, kadın ve ebe arasındaki güven, açıklık, karşılıklılık ve güç paylaşımına dayalı bakım ilişkisinin kuramsal bir çerçeve içinde tanımlanması açısından modern ebelik literatüründe önemli bir yere sahiptir. Model, 1990’lı yıllarda Yeni Zelanda’da gerçekleşen ebelik reformlarının ardından şekillenmiş; feminist teori, fenomenoloji, güçlendirme yaklaşımı ve ilişkisel bakım anlayışı gibi disiplinler arası kuramsal temellerle bütünleşerek kadın merkezli bakımın yeniden yorumlanmasına katkı sağlamıştır. Bu derlemede modelin tarihsel gelişimi, kavramsal yapısı ve temel bileşenleri sistematik biçimde ele alınmış; literatürde modelin kadınların doğum deneyimini, ebe özerkliğini ve bakımın bütüncüllüğünü nasıl desteklediği değerlendirilmiştir. Ayrıca modelin uluslararası düzeyde farklı kültür ve sağlık sistemlerinde nasıl uygulandığına ilişkin örnekler sunulmuştur. Bulgular, Midwifery Partnership Model’in ebelik bakımını insanileştiren, etik temelli ve güçlendirici bir yaklaşım sunduğunu; kadın merkezli bakımın temel değerlerini kuramsal ve pratik düzeyde bütünleştirdiğini göstermektedir. Bu çalışma, modelin ebelik alanındaki konumunu açıklığa kavuşturarak ilgili literatüre katkı sunmayı ve gelecekte yapılacak çalışmalara kavramsal bir temel oluşturmayı amaçlamaktadır.

Keywords

• Midwifery Partnership Model
• ebelik
• kadın merkezli bakım
• güçlendirme
• süreklilik.

Midwifery Partnership Model: Historical Development, Theoretical Foundations and Core Components

Abstract

The Midwifery Partnership Model is a significant framework within contemporary midwifery, as it conceptualizes the care relationship between the woman and the midwife through the core principles of trust, openness, reciprocity, and shared power. Emerging from the midwifery reforms introduced in New Zealand during the 1990s, the model integrates theoretical foundations drawn from feminist theory, phenomenology, empowerment, and relational care, thereby contributing to a redefinition of woman-centered care. This review provides a comprehensive synthesis of the historical development, conceptual structure, and core components of the Midwifery Partnership Model, while examining its place within the broader midwifery literature. The findings highlight how the model supports women’s childbirth experiences, enhances midwifery autonomy, and strengthens the holistic nature of care through collaborative decision-making and continuity of the woman–midwife relationship. Additionally, examples from various international contexts illustrate how the model has been interpreted and applied across different cultural and health-care settings. Overall, the Midwifery Partnership Model offers an ethically grounded, humanizing, and empowering approach to midwifery care. This review aims to clarify the model’s conceptual position in the literature and provide a foundational understanding to inform future research, clinical practice, and educational initiatives in midwifery.

Keywords

• Midwifery Partnership Model
• midwifery
• woman-centered care
• empowerment
• continuity

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