Klomp T, Manniën J, de Jonge A, Hutton EK, Lagro-Janssen ALM. What do midwives need to know about approaches of women towards labour pain management? A qualitative interview study into expectations of management of labour pain for pregnant women receiving midwife-led care in the Netherlands.
Midwifery 2013;
30:432-8. [PMID:
23790961 DOI:
10.1016/j.midw.2013.04.013]
[Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Revised: 04/11/2013] [Accepted: 04/28/2013] [Indexed: 11/16/2022]
Abstract
OBJECTIVE
to investigate factors important to women receiving midwife-led care with regard to their expectations for management of labour pain.
DESIGN
semi-structured ante partum interviews and analyses using constant comparison method.
PARTICIPANTS
fifteen pregnant women between 36 and 40 weeks gestation receiving midwife-led care.
SETTING
five midwifery practices across the Netherlands between June 2009 and July 2010.
MAIN OUTCOME
women's expectations regarding management of labour pain.
RESULTS
we found three major themes to be important in women's expectations for management of labour pain: preparation, support and control and decision-making. In regards to all these themes, three distinct approaches towards women's planning for pain management in labour were identified: the 'pragmatic natural', the 'deliberately uninformed' and the 'planned pain relief' approach.
CONCLUSION
midwives need to recognise that women take different approaches to pain management in labour in order to adapt care to the individual woman.
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