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Some Swedish women's experiences of prolonged labour.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och folkhälsovetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
2006 (Engelska)Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 22, nr 1, s. 56-65Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: to elucidate women's experiences of prolonged labour. DESIGN: qualitative research interviews were conducted and thematic content analysis was applied. PARTICIPANTS: 10 primiparae who, 1-3 months previously, had a prolonged labour with assisted vaginal or caesarean delivery. FINDINGS: the narratives about giving birth were interpreted and formulated into three themes and six sub-themes. The first theme, 'being caught up in labour', described the sense of not making progress during labour. The second theme was 'being out of control', and was related to the women's insufficient control of their own bodily processes, and consisted of descriptions of exhaustion and powerlessness. The third theme was 'being dependent on others', and described the women's dependence on care and on the support of the caregivers, and included descriptions of caregivers' assistance with birth as an experience of being relieved from pain and distress. KEY CONCLUSIONS: the experience of giving birth was not the experience of a healthy woman in labour, but one of severe labour pains that seemed to go on forever. The experience of prolonged labour could be understood as an experience of suddenly falling ill or finding oneself in a life-threatening condition associated with intractable pain, dependence on others and an overwhelming fear of losing oneself. IMPLICATIONS FOR PRACTICE: women with prolonged labour are more dependent on their caregivers than are women without prolonged labour. They have a special need for extra support and encouragement during the delivery as well as increased nursing and midwifery care.

Ort, förlag, år, upplaga, sidor
2006. Vol. 22, nr 1, s. 56-65
Nyckelord [en]
Adult, Anxiety/psychology, Continuity of Patient Care, Dystocia/*psychology, Female, Humans, Infant; Newborn, Labor Stage; Second/*psychology, Midwifery/*methods, Mothers/*psychology, Narration, Pregnancy, Questionnaires, Social Support, Sweden
Identifikatorer
URN: urn:nbn:se:umu:diva-6685DOI: 10.1016/j.midw.2005.05.003PubMedID: 16488810OAI: oai:DiVA.org:umu-6685DiVA, id: diva2:146355
Tillgänglig från: 2008-04-09 Skapad: 2008-04-09 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Ingår i avhandling
1. Utdragen förlossning: kvinnors upplevelser och erfarenheter
Öppna denna publikation i ny flik eller fönster >>Utdragen förlossning: kvinnors upplevelser och erfarenheter
2005 (Svenska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Alternativ titel[en]
Prolonged labour : women's experiences
Abstract [en]

Aim: The overall aim of this thesis was to illuminate, describe, and promote understanding of women’s experiences of prolonged labour. The thesis compromises four studies.

Methods: Paper I describes a case-referent study that recruited women (n = 255) giving singleton live birth to their first child by spontaneous labour after more than 37 completed weeks’ pregnancy. Participants completed a questionnaire that investigated childbirth experiences, previous family relationships, and childhood experiences. Paper II presented a cross-sectional study of 644 women who had been expecting their first child. Participants were asked to complete a questionnaire measuring psychosocial resources (social network and support), work-related psychosocial factors, control of daily life, and health characteristics. Papers III and IV presented interviews performed with 10 women, who, following prolonged labour, had given singleton live birth to their first children.

Results: The risk of a negative birth experience was increased for women following prolonged labour. Both women experiencing prolonged and normal labours perceived the support given by their partners and midwives during labour to be very important, and felt pain relief to be a key issue. The suffering experienced during labour was more likely to mark the women for life if the labour was prolonged than if the experience of giving birth was positive and labour was normal. Both women, including those who had and those who had not experienced prolonged labour reported a high level of psychosocial resources, support, and sense of wellbeing in early pregnancy.

The difficulties of prolonged labour were interpreted as an experience of being caught up in pain and fear: the women described how they had felt exhausted, powerless, and out of control. They described their dependency on others, and said that the caregiver’s decision to assist with the delivery was experienced as being relieved from pain. Prolonged labour could be understood as an experience of suddenly falling ill or of finding oneself in a life-threatening condition associated with an overwhelming fear of losing oneself and the child.

The difficulties and suffering involved in becoming a mother after a prolonged labour were interpreted to be like “fumbling in the dark”. Women had experienced bodily fatigue accompanied by feelings of illness and detachment from the child. Meeting the child when in this condition entailed a struggle to become a mother. The negativity connected with prolonged labour and a struggle for motherhood may be comparable to the experience of illness and recovery. In spite of these experiences, reassurance of these women regarding their capacity for motherhood was crucial: it was central to their happiness as mothers, encouraged their interaction and relationship with the child, and contributed to their adaptation to motherhood.

Conclusion: Women experiencing prolonged labour require advanced medical and obstetric care, which may limit their ability to participate in making decisions about their care. They have a special need for extra support and encouragement, as well as increased nursing and midwifery care during delivery.

Ort, förlag, år, upplaga, sidor
Umeå: Omvårdnad, 2005. s. 69
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 978
Nyckelord
Caring sciences, Childbirth experience, dystocia, illness, normal labour, prolonged labour, psychosocial resources, social network, social support, thematic content analysis, wellbeing, Vårdvetenskap
Nationell ämneskategori
Omvårdnad
Forskningsämne
omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:umu:diva-579 (URN)91-7305-917-X (ISBN)
Disputation
2005-09-16, Aulan, Vårdvetarhuset, Umeå Universitet, Umeå, 13:00 (Engelska)
Opponent
Handledare
Tillgänglig från: 2005-08-31 Skapad: 2005-08-31 Senast uppdaterad: 2009-11-26Bibliografiskt granskad

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Högberg, UlfLundman, Berit

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