Document Detail


Women's experiences of being induced for post-date pregnancy.
MedLine Citation:
PMID:  19647506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To explore the women's experiences of being booked for induction of labour for a pregnancy greater than 41 weeks gestation. PARTICIPANTS: 23 primigravidae who were booked for induction: 18 were induced (induction group) and 5 went into spontaneous labour (comparison group). METHOD: Data were collected by a series of interviews from booking to after birthing: interpretative techniques analysed verbatim transcriptions. FINDINGS: Two dimensions of being in the process of induction were identified: (1) a sense of "Time's Up," when the natural, temporal aspects of pregnancy end with an imposed birth date and sequenced induction procedures and, (2) a required "Shift in Expectations" from the women's original plan for labour and birth. The women varied in their responses from welcoming the end of pregnancy to feeling that their body or their baby was not ready for birth. A lack of meaningful information regarding the process of induction was also identified. The comparison group focused their worry on the impact of induction on the baby whereas the induction group expressed concern about the effect on themselves and loss of a natural birth. Worries in both groups were dissipated by successfully birthing a healthy baby. IMPLICATIONS AND OUTCOMES: The findings sensitise midwives to women's possible responses to being booked for induction. Antenatal educators can use this knowledge to prepare women and their partners for required shifts in their birthing plan when induction is deemed necessary. Midwives can help women adapt their birth plans during the induction process.
Authors:
Hilary Gatward; Michele Simpson; Lyn Woodhart; M Colleen Stainton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-31
Journal Detail:
Title:  Women and birth : journal of the Australian College of Midwives     Volume:  23     ISSN:  1878-1799     ISO Abbreviation:  Women Birth     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101266131     Medline TA:  Women Birth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  3-9     Citation Subset:  N    
Copyright Information:
Crown Copyright 2009. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Faculty of Nursing and Midwifery, University of Sydney, NSW 2006, Australia. hgatward@nursing.usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Interviews as Topic
Labor, Induced / methods*,  psychology
Narration
Patient Acceptance of Health Care*
Patient Satisfaction*
Pregnancy
Pregnancy, Prolonged* / psychology,  therapy
Tape Recording
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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