Childbirth expectations of La Ribera pregnant women: a qualitative approach

Authors

  • Francisca Camacho Morell Hospital Universitario de La Ribera (Alzira, Valencia) Universidad de Valencia
  • Mª José Romero Martín Hospital Universitario de La Ribera (Alzira, Valencia)
DOI: https://doi.org/10.6018/eglobal.17.1.276061
Keywords: childbirth expectations, qualitative research, pregnancy, nurse midwives

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

Download data is not yet available.

Author Biographies

Francisca Camacho Morell, Hospital Universitario de La Ribera (Alzira, Valencia) Universidad de Valencia

Matrona. 
Servicio de Paritorio.

Hospital Universitario de La Ribera (Alzira, Valencia) 

Mª José Romero Martín, Hospital Universitario de La Ribera (Alzira, Valencia)

Matrona. 
Servicio de Paritorio.

Hospital Universitario de La Ribera (Alzira, Valencia) 

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.

Published
30-12-2017
How to Cite
[1]
Camacho Morell, F. and Romero Martín, M.J. 2017. Childbirth expectations of La Ribera pregnant women: a qualitative approach. Global Nursing. 17, 1 (Dec. 2017), 324–347. DOI:https://doi.org/10.6018/eglobal.17.1.276061.
Issue
Section
ORIGINAL RESEARCH