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Women’s lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study – a phenomenological study
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-8562-3068
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Department of Health and Care Sciences, The Arctic University of Norway, Tromsö, Norway.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Region Västra Götaland, Department of Obstetrics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1Article in journal (Refereed) Published
Abstract [en]

Purpose

There is a trend worldwide to induce pregnant women earlier. However, few studies have focused on women’s experiences. The aim was to gain a deeper understanding of women’s lived experiences of induction of labour in late- and post-term pregnancy.

Methods

Phenomenology with a reflective lifeworld approach was chosen as the method. Twelve women participating in a larger study in which women were randomized to either induction of labour in week 41 or to expectant management until week 42, were interviewed one to three months after giving birth.

Results

The essence is described as follows: labour becomes another journey than the intended one. The women adapted to this new journey by seeing the advantages and handing themselves over to the healthcare system, but at the same time something about giving birth could be lost. The result is further described by its four constituents: planning the unplannable, being a guest at the labour ward, someone else controlling the labour, and overshadowed by how it turned out.

Conclusion

Induced labour presents a challenge to maternity personnel to support the birthing woman’s normal progress, not to rush her through labour, and to involve her in the process.

Place, publisher, year, edition, pages
2022. Vol. 17, no 1
Keywords [en]
induction of labour, late-term pregnancy, post-term pregnancy, phenomenology, SWEPIS
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-29564DOI: 10.1080/17482631.2022.2056958ISI: 000780058200001Scopus ID: 2-s2.0-85127988362OAI: oai:DiVA.org:hb-29564DiVA, id: diva2:1745646
Available from: 2023-03-23 Created: 2023-03-23 Last updated: 2024-10-01Bibliographically approved
In thesis
1. To give birth in late- and post-term pregnancy - women's experiences and perspectives
Open this publication in new window or tab >>To give birth in late- and post-term pregnancy - women's experiences and perspectives
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childbirth is a lifechanging event, and women carry with them the experience throughout life. Around one in five pregnancies reach gestational week 41. When to recommend induction of labour for those extending 41 gestational weeks has been debated. Also, knowledge of women’s experiences and perspectives is limited. Therefore, the overall aim of this thesis was to obtain a deeper understanding of women’s experiences and perspectives of giving birth in late- and post-term pregnancy. Study I is a systematic review aiming to identify and present validated instruments measuring women’s childbirth experiences. In total, 36 instruments were identified representing different aspects of childbirth experiences with varying quality of psychometric properties. Study II compared childbirth experience between women randomised to either induction in gestational week 41+0 to 41+2 or to expectant management until gestational week 42. In total, 656 women responded to the Childbirth Experience Questionnaire version 2, three months after birth. As an exploratory outcome, 1457 women responded to the overall childbirth experience measured on a visual analogue scale within three days after birth. No significant difference was seen between the two randomised groups. Study III is a phenomenological study where twelve women were interviewed about their experience of induction of labour in late- and post-term pregnancy. The essence was described as the induction of labour becoming another journey than the intended one. In Study IV, ten women who wanted to await spontaneous onset in week 41 were interviewed about their experiences and perspectives regarding giving birth in late-term pregnancy. Through reflexive thematic analysis, three main themes were identified: well-being and trust in the own body’s process, not for me right now – if everything is good, and the embodied experience of giving birth. This thesis provides new insights into how induction of labour can be experienced in late- and post-term pregnancy as well as the experience of wanting to await spontaneous onset of labour. The included studies can aid maternity personnel in acquiring a deeper understanding and enable more individualised care in the lifechanging and existential period that giving birth and becoming a parent is.

Place, publisher, year, edition, pages
Göteborg: University of Gothenburg, 2022
Keywords
childbirth experience, late-term pregnancy, post-term pregnancy, induction of labour, systematic review, validated questionnaire, randomised controlled trial, phenomenology, thematic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29567 (URN)978-91-8009-807-6 (ISBN)978-91-8009-808-3 (ISBN)
Public defence
2022-06-08, sal 2119, Arvid Wallgrens backe 1, Göteborg, 09:00
Available from: 2023-03-23 Created: 2023-03-23 Last updated: 2023-03-23Bibliographically approved

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