Intrapartum midwifery care impact Swedish couple's birth experiences - A cross-sectional study.


Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 17 12 2017
revised: 08 06 2018
accepted: 19 08 2018
pubmed: 16 9 2018
medline: 6 8 2019
entrez: 16 9 2018
Statut: ppublish

Résumé

Parents' birth experiences affect bonding with their infant, which in turn may influence the child's future health. Parents' satisfaction with childbirth is multi-dimensional and dependent on both expectations and experiences. Increasing involvement of partners in intrapartum care may lead to an assumption that the birthing couple shares attitudes and expectations of intrapartum care. There is a limited knowledge regarding the uniformity of couples' experiences of labour and birth. To describe and compare uniformity in couples' birth experiences of the quality of intrapartum midwifery care. A quantitative cross-sectional study nested within a randomised controlled trial. In total 209 healthy primiparous mothers and their partners were recruited. A quality of care index was generated from an on-line questionnaire administered as a follow-up to the randomised controlled trial. Uniformity and differences were identified regarding the coupleś experiences of birth and their preferences for intrapartum care RESULTS: A high level of uniformity between the mothers and their partners was revealed. Birth was a positive experience for 79% of partners and 73% of mothers whom were more likely to have experienced a spontaneous vaginal birth. Partners and mothers with a less positive birth experienced deficiencies regarding: being in control, receiving information about labour progress and midwife's presence in labour room. Midwives can enhance couples' feeling of being in control during labour and birth by being attentive, present and continuously providing adequate information and emotional support.

Sections du résumé

BACKGROUND BACKGROUND
Parents' birth experiences affect bonding with their infant, which in turn may influence the child's future health. Parents' satisfaction with childbirth is multi-dimensional and dependent on both expectations and experiences. Increasing involvement of partners in intrapartum care may lead to an assumption that the birthing couple shares attitudes and expectations of intrapartum care. There is a limited knowledge regarding the uniformity of couples' experiences of labour and birth.
AIM OBJECTIVE
To describe and compare uniformity in couples' birth experiences of the quality of intrapartum midwifery care.
METHOD METHODS
A quantitative cross-sectional study nested within a randomised controlled trial. In total 209 healthy primiparous mothers and their partners were recruited. A quality of care index was generated from an on-line questionnaire administered as a follow-up to the randomised controlled trial. Uniformity and differences were identified regarding the coupleś experiences of birth and their preferences for intrapartum care RESULTS: A high level of uniformity between the mothers and their partners was revealed. Birth was a positive experience for 79% of partners and 73% of mothers whom were more likely to have experienced a spontaneous vaginal birth. Partners and mothers with a less positive birth experienced deficiencies regarding: being in control, receiving information about labour progress and midwife's presence in labour room.
DISCUSSION CONCLUSIONS
Midwives can enhance couples' feeling of being in control during labour and birth by being attentive, present and continuously providing adequate information and emotional support.

Identifiants

pubmed: 30217554
pii: S1871-5192(17)30760-6
doi: 10.1016/j.wombi.2018.08.163
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Pagination

213-220

Informations de copyright

Copyright © 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Li Thies-Lagergren (L)

Department of Midwifery Research - Reproductive, Perinatal and Sexual Health, Lund University, Sweden; Department of Obstetrics and Gynaecology, Helsingborg Lasarett, Sweden. Electronic address: li.thies-lagergren@med.lu.se.

Margareta Johansson (M)

Department of Women's and Children's Health, Uppsala University, Sweden; Department of Obstetrics and Gynaecology, Södersjukhuset, Sweden. Electronic address: margareta.johansson@kbh.uu.se.

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Classifications MeSH