Decision making in midwifety is a complex process that shapes and underpins clinical practice and determines, to a large extent, the quality of care. Effective decision, imaking and professional accountability are central to clinical governance, and being able to justify all decisions is a professional and legal requirement. With this, the research study covered sixteen (16) midwife service providers with at least ten (10) years of experience in the practice of midwifery as this length of clinical experience ensures the quality and varied insights of the select midwives. This study only highlights intuition use in midwifery as one of the bases of their clinical judgment and decisions. The study made use of the descnptive-quahtative approach in a research inquiry to be able to accomplish the research objeetive. Informants were selected using purposive sampling utilized in Bulacan as the research locale. Data were gathered using focus group discussions and interviews that lasted averagely about 10 minutes. Findings revealed that the midwife, in her daily rigorous work in the birthing facility, faced with various work related problems, such as high patient tumover or overbooked birthing facility, emergencies that warrant life and death of patients shortage of staff and lack of rest and sleep, would still be expected to make quick and accurate decisions regarding patient management. The next thing that happens and which is not taught in the midwifery school is making a decision out of intuition with regard to the care and management of a client/patient. For a midwife, this happens when there is pressure of time in an emergency and stressful environment and which depicts a situation that will make her decide to choose between life and death of’her elients’patients Midwives frequently rely on their gut instincts” or intuitive insights as the foundation of a judgment or action within the clinical practice setting. These give a warning flag to do something for the good of the client/patient despite the absence of clamcal evidence Likewise, in the midwifery practice without the midwife knowing it she subconsciously :and very seriously uses her intuition, as her career as a midwife progresses, especially in :high stakes of emergencies. This research study confirms the use of intuition as an element in decision-making in the midwifery profession by the midwife service providerlinformants who participated in the gathering of data and information through the focus discussions and interviews conducted. These midwife service provider-informants have gained long years of experience as midwives and have encountered several instances in their client/patient management which would require them to do something to make improve the clinical status either’or sase the lives of their clients’patients They cannot understand where it is coming from and which cannot be explained. It is not in midwifery = or medical books. Decision just has to be made and done. Surprisingly, the client/patient is saved. The researchers strongly suggested and recommended the inclusion of intuition as a subject matter in midwifery school curriculum and be included as a topic of discussion ;and deliberation during midwifes’ symposia and conventions to further the knowledge and::
concern about its importance in midwifery profession.