Childbirth expectations of La Ribera pregnant women: a qualitative approach
Supporting Agencies
- Servicio de Calidad del Hospital Universitario de La Ribera
Abstract
Objective: Change of healthcare model in normal childbirth, health authorities interest in exploring childbirth expectations of pregnant women, and their cultural and social specificity make relevant the study of these expectations at this moment. The aim is to know what are the childbirth expectations from a sample of Spanish pregnant women and to study the differences between primiparous and multiparous pregnant women expectations.Methodology: Qualitative study based on an open-ended question about childbirth expectations. Data were collected during 2014-2015 to third trimester pregnant women in La Ribera health area (Alzira, Valencia). Data were analyzed using content analysis.
Results: Sample of 213 pregnant women whose main expectations were to have a fast delivery, with good obstetric outcome, painlessly and with professional support. Expectations regarding normal childbirth protocols accounted for 5.2% of total responses. No statistically significant differences between primiparous and multiparous pregnant women were found.
Conclusions: Knowledge about childbirth expectations is highly relevant because pregnant women measure their satisfaction with childbirth through the fulfillment of these expectations. Helping them to develop realistic expectations will increase their satisfaction. Midwives play an important role through the training they give (maternal education) and through the support during delivery (this is essential for the pregnant women in order to feel themselves protagonist of their delivery).
Downloads
References
Pinheiro BC, Bittar, CML. Expectativas, percepções e experiências sobre o parto normal: Relato de um grupo de mulheres. Fractal Revista de Psicologia. 2013;25(3):585-602. http://dx.doi.org/10.1590/S1984-02922013000300011
Soet JE, Brack GA, DiIorio C. Prevalence and predictors of women’s experience of psychological trauma during childbirth. Birth. 2003;30:36–46.
Hauck Y, Fenwick J, Downie J, Butt J. The influence of childbirth expectations on western Australian women's perceptions of their birth experience. Midwifery. 2007;23,235–247. http://dx.doi.org/10.1016/j.midw.2006.02.002.
Green JM, Baston HA. Feeling in control during labor: concepts, correlates, and consequences. Birth. 2003;30:235–247.
Martin DK, Bulmer SM, Pettker CM. Childbirth expectations and sources of information among low- and moderate- income nulliparous pregnant women. J Perinat Educ. 2013;22(2):103–112. http://dx.doi.org/10.1891/1058-1243.22.2.103
Tarkka MT, Paunonen M, Laippala P. Importance of the midwife in the first-time mother’s experience of childbirth. Scand J Caring Sci. 2000;14(3):184-190.
Rilby L, Jansson S, Lindblom B, Mårtensson LB. A Qualitative Study of Women's Feelings About Future Childbirth: Dread and Delight. J Midwifery Womens Health. 2012;57(2):120-125. http://dx.doi.org/10.1111/j.1542-2011.2011.00113.x.
Gibbins J, Thomson AM. Women's expectations and experiences of childbirth. Midwifery. 2001;17(4):302-313.
Oweis A, Abushaikha L. Jordanian pregnant women's expectations of their first childbirth experience. Int J Nurs Pract. 2004;10(6):264-271. http://dx.doi.org/10.1111/j.1440-172x.2004.00488.x.
Beaton J, Gupton A. Childbirth expectations: a qualitative analysis. Midwifery. 1990;6(3):133-139.
Christiaens W, Verhaeghe M, Bracke P. Childbirth expectations and experiences in Belgian and Dutch models of maternity care. J Reprod Infant Psychol. 2008;26(4):309-322.
Ayers S, Pickering AD. Women’s expectations and experience of birth. Psychol Health. 2005;20(1):79-92.
Sweeny K, Krizan Z. Sobering up: A quantitative review of temporal declines in expectations. Psychol Bull. 2013;139(3):702-724. http://dx.doi.org/10.1037/a0029951.
Gupton A, Beaton J, Sloan J, Bramadat I. The development of a scale to measure childbirth expectations. Can J Nurs Res. 1991;23(2):35-47.
Lally JE, Murtagh MJ, Macphail S, Thomson R. More in hope than expectation: A systematic review of women's expectations and experience of pain relief in labour. BMC Medicine. 2008;6:7. http://dx.doi.org/10.1186/1741-7015-6-7.
Ferreiro-Losada MT, Díaz-Sanisidro E, Martínez-Romero MD, Rial- Boubeta A, Varela-Mallou J, Clavería-Fontán A. Evaluación mediante grupos focales de las expectativas y percepciones de las mujeres durante el proceso de parto. Rev Calid Asist. 2013;28(5):291-299.
Goberna Tricas J, Palacio Tauste A, Banús Giménez MR, Linares Sancho S, Salas Casas D. Tecnología y humanización en asistencia al nacimiento. La percepción de las mujeres. Matronas Prof. 2008;9(1):5-10.
Fenwick J, Hauck Y, Downie J, Butt J. The childbirth expectations of a self-selected cohort of Western Australian women. Midwifery. 2005;21(1):23-35.
Peñacoba-Puente C, Carmona-Monge FJ, Marín-Morales D, Écija-Gallardo C. Evolution of childbirth expectations in Spanish pregnant women. Appl Nurs Res. 2016;29:59-63. http://dx.doi.org/10.1016/j.apnr.2015.05.017
Almeida N, Fleury EM. Expectativas de Gestantes sobre o Parto e suas Percepções acerca da Preparação para o Parto. Temas em Psicologia. 2016;24(2):681-693. http://dx.doi.org/10.9788/TP2016.2-15
Basso JF, Monticelli M. Expectativas de participação de gestantes e acompanhantes para o parto humanizado. Rev Lat Am Enfermagem. 2010;18(3):97-105. http://dx.doi.org/10.1590/S0104-11692010000300014
Zhang X, Lu H. Childbirth expectations and correlates at the final stage of pregnancy in Chinese expectant parents. International Journal of nursing sciences. 2014;(1):151-6. http://dx.doi.org/10.1016/j.ijnss.2014.05.019
Wijma K, Söderquist J, Wijma B. Posttraumatic stress disorder after childbirth: A cross sectional study. J Anxiety Disord. 1997;11(6):587-597.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112.
Serçekus P, Okumus H. Fears associated with childbirth among nulliparous women in Turkey. Midwifery. 2009;25(2):155-162.
Biurrun-Garrido A, Goberna-Tricas J. La humanización del trabajo de parto: necesidad de definir el concepto. Revisión de la bibliografía. Matronas Prof. 2013;14(2):62-66.
National Collaborating Centre for Women's and Children's Health. Intrapartum Care. Care of healthy women and their babies during childbirth. Clinical Guideline 190. Methods, evidence and recommendations; 2014. Disponible en: https://www.nice.org.uk/guidance/CG190 (último acceso 22 de noviembre 2016).
McGrath SK, Kennell JH. A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. Birth. 2008;35(2):92-97.
Udofia EA, Akwaowo CD. Pregnancy and after: What women want from their partners listening to women in Uyo, Nigeria.
J Psychosom Obstet Gynaecol. 2012;33(3):112-119. http://dx.doi.org/10.3109/0167482X.2012.693551.
Anderson T. Feeling safe enough to let go: the relationship between a woman and her midwife during the second stage of labor. London: Palgrave Macmillan; 2000.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.