Interventions during labor and birth in the United States: A qualitative analysis of women’s experiences
Categorie(s):
Healt
Author(s):
Alana M. Bibeau
Keyword(s):
Kesehatan, kebidanan, Jurnal Internasional, jurnal, Intervention
Pregnancy, Birth, Qualitative research, United States
DOI:
Abstract :
ABSTRACT
Objective: To explore and describe hospital-birthing women’s understandings of and experiences with
interventions during labor and birth.
Methods: Qualitative data was collected as part of a larger ethnographic study of childbirth in the United
States. The grounded theory method was employed to analyze interviews with 59 women from three states
who had recently given birth in hospitals with physicians or certified nurse-midwives in attendance.
Results: Four themes emerged fromthe data. The themes safety/risk and provider match, described women’s
expectations regarding intervention and their interactions with providers. A third theme addressed how
women experienced interventions and their perceptions of control over decision-making. A final theme
characterized women’s satisfaction with maternity care.
Conclusions: Women who received interventions expressed varying levels of comfort or apprehension
associated with both expectations of maternity care and provider match. Women whose expectations
matched those of the provider reported more positive experiences. Regardless of provider match, women
expressed ambivalence about the use of interventions and confusion over their appropriate place.Women’s
ability to make sense of interventions was related to how well they navigated a complicated and bureaucratic
maternity system. Increasing attention needs to be paid to the impact of these factors onwomen’s
perceptions of care during pregnancy and childbirth.