Some Swedish women´s perception of childbirth
2008 (English)Conference paper (Refereed)
Background: The aim of intrapartal care in normal birth is to achieve a healthy mother and child using the least possible number of interventions that is compatible with safety.
Aim: The aims of this study were to elucidate womens perceptions of intrapartal care and womens perceptions of normal birth.
Methods: A questionnaire developed from the WHOs recommendations for care in normal birth were answered by 138 (response rate 66.0%) Swedish women. The women were asked to evaluate items in two ways; their perceived reality (PR) of care received and the subjective importance (SI) of each item.
Results: Most women reported received care in the category (A) Practices that are good and should be encouraged. However, women to a minor degree reported assessment for physical health, enquiring about support needs and pain assessment on admission. Many women received electronic fetal monitoring, repeated vaginal examinations, oxytocin augmentation and suturing after birth which fall under the categories (B) practices that are harmful, (C) insufficient evidence exists and (D) practices frequently used inappropriately. The women who reported Yes for perceived reality also reported high subjective importance for those items regardless of category A-D. Eighty-four percent of the women perceived that they had a normal delivery.
Conclusion: The result suggests that women have great trust that the care that midwives give them is the best care. Midwives have therefore an ethical responsibility to keep themselves informed about the best evidence-based care and to implement critical reviewing of their practice as part of ongoing professional development. The womens perceptions of a normal birth allows for a wide range of interventions.
Place, publisher, year, edition, pages
Research subject Nursing Science
IdentifiersURN: urn:nbn:se:kau:diva-23711OAI: oai:DiVA.org:kau-23711DiVA: diva2:597473
International Confederation of Midwives, Glasgow 1-5 June 2008