Being in a safe and thus secure place, the core of early labour: A secondary analysis in a Swedish context

Carlsson, Ing‐Marie

doi:10.3402/qhw.v11.30230

Cited by 20 publications

(17 citation statements)

References 39 publications

(62 reference statements)

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“…Although the whole event does not seem to have been described before on the basis of qualitative evidence, elements of our findings are coherent with those from other studies. The preference for familiarity of environment and people at the start of birth, 35 the altered state of consciousness, 36 37 the different time perception, 38–40 the empowerment 6 41 42 and change 37 43 that come with childbirth have previously been described.…”

Section: Discussionmentioning

confidence: 96%

Women’s psychological experiences of physiological childbirth: a meta-synthesis

et al. 2018

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ObjectiveTo synthesise qualitative studies on women’s psychological experiences of physiological childbirth.DesignMeta-synthesis.MethodsStudies exploring women’s psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography.ResultsEight studies involving 94 women were included. Three third order interpretations were identified: ‘maintaining self-confidence in early labour’, ‘withdrawing within as labour intensifies’ and ‘the uniqueness of the birth experience’. Using the first, second and third order interpretations, a line of argument developed that demonstrated ‘the empowering journey of giving birth’ encompassing the various emotions, thoughts and behaviours that women experience during birth.ConclusionGiving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary.PROSPERO registration numberCRD42016037072.

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Section: Discussionmentioning

confidence: 96%

Women’s psychological experiences of physiological childbirth: a meta-synthesis

et al. 2018

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“…According to Mozygemba [ 6 ], women strive for security during pregnancy and birth to orientate themselves during the processes of change. Further studies focusing on childbirth experiences indicate that the presence and professional support offered by midwives and hospital staff contribute to creating a sense of security for mothers [ 40 – 44 ] and fathers [ 43 , 45 – 48 ]. Additionally, the partner’s presence at the delivery is considered beneficial for the women’s sense of security [ 49 – 51 ].…”

Section: Introductionmentioning

confidence: 99%

Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review

Werner-Bierwisch

Pinkert

Niessen

et al. 2018

BMC Pregnancy Childbirth

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BackgroundFrom the individual perspective, security, which is essential to life quality, is characterised as an elementary human need that requires fulfilment. During the transition to parenthood, mothers and fathers are confronted with changes in physical and psychosocial processes that are accompanied by uncertainty and insecurity. Feelings of insecurity may have consequences affecting their pregnancy and childbirth experiences as well as their adaption to the parental role in the first weeks following childbirth. In this context, it is important to understand how parents express and interpret their sense of security to effectively support their security needs. This integrative review aimed to provide a critical synthesis of existing research on parents’ experiences of their sense of security associated with pregnancy, childbirth and the postnatal period.MethodsA literature search of the PubMed, CINAHL, PsycINFO and GESIS Sowiport databases was performed. Peer-reviewed papers that were published in English or German between 1990 and 2017 focusing on mothers’ and fathers’ experiences of sense of security in the context of maternity care were included. A thematic analysis was performed to organise and describe the findings.ResultsEleven research-based papers met the inclusion criteria. Four key themes among the data were analysed: the meaning and manifestation of sense of security, sense of security in relation to confidence and control, lack of feeling secure and coping strategies, and factors influencing sense of security.ConclusionsThe findings revealed a complex profile of the perception of security associated with pregnancy, childbirth and the postnatal period. Sense of security can depend on multiple internal and external factors, which can differ between mothers and fathers. Research on the experiences and perceptions associated with fathers’ sense of security is lacking. Further research focused on the experiences of security from the parents’ perspective is necessary. Midwives and other involved health professionals should be aware of their role in creating a sense of security among parents. Based on a local specific understanding of security experiences, professional caregivers have the opportunity to support parents more effectively with regard to their specific security needs.

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“… To move the theoretical debate beyond the home/hospital dichotomy. Carlsson ( 2016 ), Sweden. To generate a theory based on where women choses to be during the early labour process.…”

Section: Resultsmentioning

confidence: 99%

Place and space in relation to childbirth: a critical interpretive synthesis

Carlsson

Larsson

Jormfeldt

2020

International Journal of Qualitative Studies on Health and Well

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Background: In nursing and midwifery, the concept of environment is considered a metaconcept. Research findings suggest that the location is not the only important factor, as both place and space influence the practices of midwives. Moreover, research on the geography of health suggests a connection between place and health that could be extended to reproductive health. Therefore, to move beyond and expand traditional research expressions, it is beneficial to illuminate the concepts of place and space in relation to childbirth. Purpose: This study was undertaken to produce a synthesis of previous qualitative research of issues in childbirth in relation to the concepts of place and space. Method: In this Critical Interpretive Synthesis (CIS), four electronic databases; CINAHL, Medline, PsycINFO and Sociological abstracts, were used for the literature search. In total 734 papers were screened, and 27 papers met the final inclusion criteria after assessment. Results: The synthesis reveals a need to create a space for childbirth underpinned by four aspects; a homely space, a spiritual space, a safe space, and a territorial space. Conclusion: Findings from this review will provide a basis for useful dialogue in midwifery education and in clinical settings.

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Being in a safe and thus secure place, the core of early labour: A secondary analysis in a Swedish context

Cited by 20 publications

References 39 publications

Women’s psychological experiences of physiological childbirth: a meta-synthesis

Women’s psychological experiences of physiological childbirth: a meta-synthesis

Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review

Place and space in relation to childbirth: a critical interpretive synthesis

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