A qualitative study showing women’s participation and empowerment in instrumental vaginal births

Sjödin, Marie; Rådestad, Ingela; Zwedberg, Sofia

doi:10.1016/j.wombi.2017.09.006

Cited by 12 publications

(27 citation statements)

References 24 publications

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“…Six studies were qualitative studies of maternity service users reporting the views and experiences of 73 women and 20 men from three high-income countries (Sweden, UK, USA) [23,26,[30][31][32][33]. The earliest study included in the qualitative evidence synthesis was from 2003 [23] and the most recent from 2015 [31].…”

Section: Resultsmentioning

confidence: 99%

“…Four included survey studies [29,36,50,66] reported some free-text responses. These papers, along with the six included qualitative studies [23,26,[30][31][32][33] and the mixed-methods study [34] provided the starting point for our convergence coding matrix. In total 36 studies were included in the quantitative narrative synthesis, of which seven were from LMIC settings.…”

Section: Resultsmentioning

confidence: 99%

“…Hurrell 2006 [26] Moderate confidence Major concerns about adequacy (studies from only two countries). Nystedt 2006 [32] Zwedberg 2015 [31] Sjödin 2018 [30] Frightening and violent experience -Some women and men experience AVD as frightening, distressing or violent. Participants use vivid language to describe the sights and sounds of their experience -seeing blood, perceptions of force or violence (words like tearing, ripping, dragging), the baby's appearance Hurrell 2006 [26] Moderate confidence Moderate concerns about adequacy (studies from three countries).…”

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

“…Participants use vivid language to describe the sights and sounds of their experience -seeing blood, perceptions of force or violence (words like tearing, ripping, dragging), the baby's appearance Hurrell 2006 [26] Moderate confidence Moderate concerns about adequacy (studies from three countries). Nystedt 2006 [32] Goldbort 2009 [33] Zwedberg 2015 [31] Sjödin 2018 [30] middle-income country and three from least developed countries according to the OECD's DAC list of Official Development Assistance Recipients 2018-2020. One study was a multi-country study of 40 LMICs and another was a multi-country survey.…”

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

“…Hurrell 2006 [26] Moderate confidence Major concerns about adequacy (studies from only two countries). Sjödin 2018 [30] Zwedberg 2015 [31] Balancing control and trust -The amount of trust that women and men have in their care givers at the time of an assisted vaginal delivery is linked both to their perceptions of control and to their acceptance of the intervention.…”

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

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Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

et al. 2020

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Background: When certain complications arise during the second stage of labour, assisted vaginal delivery (AVD), a vaginal birth with forceps or vacuum extractor, can effectively improve outcomes by ending prolonged labour or by ensuring rapid birth in response to maternal or fetal compromise. In recent decades, the use of AVD has decreased in many settings in favour of caesarean section (CS). This review aimed to improve understanding of experiences, barriers and facilitators for AVD use. Methods: Systematic searches of eight databases using predefined search terms to identify studies reporting views and experiences of maternity service users, their partners, health care providers, policymakers, and funders in relation to AVD. Relevant studies were assessed for methodological quality. Qualitative findings were synthesised using a meta-ethnographic approach. Confidence in review findings was assessed using GRADE CERQual. Findings from quantitative studies were synthesised narratively and assessed using an adaptation of CERQual. Qualitative and quantitative review findings were triangulated using a convergence coding matrix. Results: Forty-two studies (published 1985-2019) were included: six qualitative, one mixed-method and 35 quantitative. Thirty-five were from high-income countries, and seven from LMIC settings. Confidence in the findings was moderate or low. Spontaneous vaginal birth was most likely to be associated with positive short and long-term outcomes, and emergency CS least likely. Views and experiences of AVD tended to fall somewhere between these two extremes. Where indicated, AVD can be an effective, acceptable alternative to caesarean section. There was agreement or partial agreement across qualitative studies and surveys that the experience of AVD is impacted by the unexpected nature of events and, particularly in high-income settings, unmet expectations. Positive relationships, good communication, involvement in decision-making, and (believing in) the reason for intervention were important mediators of birth experience. Professional attitudes and skills (development) were simultaneously barriers and facilitators of AVD in quantitative studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

Section: Turbulent Feelings About the Actual Experiencementioning

confidence: 99%

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Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

et al. 2020

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Forceps delivery for non-rotational and rotational operative vaginal delivery

Black

Murphy

2019

Best Practice & Research Clinical Obstetrics & Gynaecol

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Mediating expectations and experiences that influence birth experiences in Canada's first Alongside Midwifery Unit

Murray‐Davis

Grenier

Mattison

et al. 2023

Birth

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BackgroundGlobally, midwifery‐led birthing units are associated with excellent maternal and neonatal outcomes, and positive childbirth experiences. However, little is known about what aspects of midwife‐led units contribute to favorable experiences and overall satisfaction. Our aim was to explore and describe midwifery service user experiences at Canada's first Alongside Midwifery Unit (AMU).MethodsWe used a qualitative, grounded theory approach using semi‐structured interviews with recipients of midwifery care at the AMU.FindingsData were collected from twenty‐eight participants between September 2018 and March 2020. Our generated theory explains how birth experiences and satisfaction were influenced by how well the AMU aligned with expectations or desired experiences related to the following four themes: (1) maintaining the midwifery model of care, (2) emphasizing control and choice, (3) facilitating interprofessional relationships, and (4) appreciating the unique AMU birthing environment.ConclusionCanada's first AMU met or exceeded service‐user expectations, resulting in high levels of satisfaction with their birth experience. Maintaining core elements of the midwifery model of care, promoting high levels of autonomy, and facilitating positive interprofessional interactions are crucial elements contributing to childbirth satisfaction in the AMU environment.

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A qualitative study showing women’s participation and empowerment in instrumental vaginal births

Cited by 12 publications

References 24 publications

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

Forceps delivery for non-rotational and rotational operative vaginal delivery

Mediating expectations and experiences that influence birth experiences in Canada's first Alongside Midwifery Unit

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