Helping women: The use of Heron's framework in midwifery practice

Communication and relationships are central to contemporary agendas such as 'partnerships' and have been aligned to the defining features of a 'good' midwife. This article discusses the use of Heron's (2001) Six Category Intervention Analysis as a framework for the midwife to use in a helping relationship with women. The framework is described and examples of its use in midwifery practice are outlined and current research is explored. Emerging issues such as the context of practice, emotional competence and self-awareness are debated in relation to the use of interventions in practice. Implications for practice consider the need for support for midwives and students to develop both the necessary skills and to reflect upon 'self'. The need for research within a midwifery context is proposed.