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Experiences of non-progressive and augmented labour among nulliparous women: a qualitative interview study in a Grounded Theory approach

Kjaergaard, Hanne; Foldgast, Anne Maria and Dykes, Anna-Karin LU (2007) In BMC Pregnancy and Childbirth 7.
Abstract
BACKGROUND: Non-progressive labour is the most common complication in nulliparas and is primarily treated by augmentation. Augmented labour is often terminated by instrumental delivery. Little qualitative research has addressed experiences of non-progressive and augmented deliveries. The aim of this study was to gain a deeper understanding of the experience of non-progressive and augmented labour among nulliparas and their experience of the care they received. METHODS: A qualitative study was conducted using individual interviews. Data was collected and analysed according to the Grounded Theory method. The participants were a purposive sample of ten women. The interviews were conducted 4-15 weeks after delivery. RESULTS: The women had... (More)
BACKGROUND: Non-progressive labour is the most common complication in nulliparas and is primarily treated by augmentation. Augmented labour is often terminated by instrumental delivery. Little qualitative research has addressed experiences of non-progressive and augmented deliveries. The aim of this study was to gain a deeper understanding of the experience of non-progressive and augmented labour among nulliparas and their experience of the care they received. METHODS: A qualitative study was conducted using individual interviews. Data was collected and analysed according to the Grounded Theory method. The participants were a purposive sample of ten women. The interviews were conducted 4-15 weeks after delivery. RESULTS: The women had contrasting experiences during the birth process. During labour there was a conflict between the expectation of having a natural delivery and actually having a medical delivery. The women experienced a feeling of separation between mind and body. Interacting with the midwife had a major influence on feelings of losing and regaining control. Reconciliation between the contrasting feelings during labour was achieved. The core category was named Dialectical Birth Process and comprised three categories: Balancing natural and medical delivery, Interacting, Losing and regaining control. CONCLUSION: A dialectical process was identified in these women's experiences of non-progressive labour. The process is susceptible to interaction with the midwife; especially her support to the woman's feeling of being in control. Midwives should secure that the woman's recognition of the fact that the labour is non-progressive and augmentation is required is handled with respect for the dialectical process. Augmentation of labour should be managed as close to the course of natural labour and delivery as possible. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Pregnancy and Childbirth
volume
7
publisher
BioMed Central
external identifiers
  • pmid:17662152
  • scopus:34548569109
ISSN
1471-2393
DOI
10.1186/1471-2393-7-15
language
English
LU publication?
yes
id
24b6bba9-8a51-4121-a340-9e1f5382638c (old id 1143300)
date added to LUP
2008-07-30 15:44:48
date last changed
2017-03-26 04:22:12
@article{24b6bba9-8a51-4121-a340-9e1f5382638c,
  abstract     = {BACKGROUND: Non-progressive labour is the most common complication in nulliparas and is primarily treated by augmentation. Augmented labour is often terminated by instrumental delivery. Little qualitative research has addressed experiences of non-progressive and augmented deliveries. The aim of this study was to gain a deeper understanding of the experience of non-progressive and augmented labour among nulliparas and their experience of the care they received. METHODS: A qualitative study was conducted using individual interviews. Data was collected and analysed according to the Grounded Theory method. The participants were a purposive sample of ten women. The interviews were conducted 4-15 weeks after delivery. RESULTS: The women had contrasting experiences during the birth process. During labour there was a conflict between the expectation of having a natural delivery and actually having a medical delivery. The women experienced a feeling of separation between mind and body. Interacting with the midwife had a major influence on feelings of losing and regaining control. Reconciliation between the contrasting feelings during labour was achieved. The core category was named Dialectical Birth Process and comprised three categories: Balancing natural and medical delivery, Interacting, Losing and regaining control. CONCLUSION: A dialectical process was identified in these women's experiences of non-progressive labour. The process is susceptible to interaction with the midwife; especially her support to the woman's feeling of being in control. Midwives should secure that the woman's recognition of the fact that the labour is non-progressive and augmentation is required is handled with respect for the dialectical process. Augmentation of labour should be managed as close to the course of natural labour and delivery as possible.},
  articleno    = {15},
  author       = {Kjaergaard, Hanne and Foldgast, Anne Maria and Dykes, Anna-Karin},
  issn         = {1471-2393},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Pregnancy and Childbirth},
  title        = {Experiences of non-progressive and augmented labour among nulliparous women: a qualitative interview study in a Grounded Theory approach},
  url          = {http://dx.doi.org/10.1186/1471-2393-7-15},
  volume       = {7},
  year         = {2007},
}