Women's experiences of antenatal transfer for threatened premature labour in NSW: A qualitative study.
Adult
Australia
Birthing Centers
/ organization & administration
Female
Humans
Interviews as Topic
Labor, Obstetric
/ psychology
New South Wales
Obstetric Labor, Premature
/ epidemiology
Parturition
Patient Care Planning
Patient Transfer
/ statistics & numerical data
Pregnancy
Pregnant Women
/ ethnology
Qualitative Research
Surveys and Questionnaires
Tertiary Care Centers
Antenatal transfer
Neonatal intensive care unit (NICU)
Predictive testing
Qualitative research
Threatened premature labour
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:
Nov 2020
Nov 2020
Historique:
received:
26
06
2019
revised:
14
12
2019
accepted:
15
12
2019
pubmed:
4
1
2020
medline:
30
10
2020
entrez:
4
1
2020
Statut:
ppublish
Résumé
Each year thousands of pregnant women experiencing threatened premature labour are transferred considerable distances across Australia to access higher level facilities but only a small proportion of these women go on to actually give birth to a premature baby. Women from regional areas are required to move away from their home, children and support networks because of a perceived risk of birthing in a centre without neonatal intensive care facilities. This study examines the experience of women undergoing antenatal transfer for threatened premature labour in New South Wales and the Australian Capital Territory who do not give birth during their transfer admission. Thirteen semi-structured in-depth interviews were held with women across five tertiary referral sites across New South Wales and the Australian Capital Territory, and analysed until saturation for themes. Seven urban and six rural women were interviewed. Women and their families were all negatively affected by antenatal transfer. Factors that helped enable a positive experience were; enhanced sense of safety in the tertiary unit, and individual qualities of staff. Factors that contributed to negative experiences were; inadequate and conflicting information, and no involvement or choice in the clinical decision-making process to move to another facility. Antenatal transfer is an extremely stressful experience for women and their families. The provision of high quality written and verbal information, and the inclusion of women's perception of risk in the clinical decision making process will improve the experience for women and their families in NSW and the ACT.
Sections du résumé
BACKGROUND
BACKGROUND
Each year thousands of pregnant women experiencing threatened premature labour are transferred considerable distances across Australia to access higher level facilities but only a small proportion of these women go on to actually give birth to a premature baby. Women from regional areas are required to move away from their home, children and support networks because of a perceived risk of birthing in a centre without neonatal intensive care facilities.
AIM
OBJECTIVE
This study examines the experience of women undergoing antenatal transfer for threatened premature labour in New South Wales and the Australian Capital Territory who do not give birth during their transfer admission.
METHODS
METHODS
Thirteen semi-structured in-depth interviews were held with women across five tertiary referral sites across New South Wales and the Australian Capital Territory, and analysed until saturation for themes.
FINDINGS
RESULTS
Seven urban and six rural women were interviewed. Women and their families were all negatively affected by antenatal transfer. Factors that helped enable a positive experience were; enhanced sense of safety in the tertiary unit, and individual qualities of staff. Factors that contributed to negative experiences were; inadequate and conflicting information, and no involvement or choice in the clinical decision-making process to move to another facility.
CONCLUSIONS
CONCLUSIONS
Antenatal transfer is an extremely stressful experience for women and their families. The provision of high quality written and verbal information, and the inclusion of women's perception of risk in the clinical decision making process will improve the experience for women and their families in NSW and the ACT.
Identifiants
pubmed: 31899149
pii: S1871-5192(19)30421-4
doi: 10.1016/j.wombi.2019.12.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e535-e542Informations de copyright
Copyright © 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.