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Titre : | How do women make decisions about declining duction for a pregnancy that is postdate? An exploratory phenomenological study (2024) |
Auteurs : | Maria Jesse ; Tania Staras |
Type de document : | Article |
Dans : | Midwifery Digest (Midirs) (Vol. 34, n° 1, March 2024) |
Article en page(s) : | p. 63-68 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accouchement provoqué ; Expérience ; Grossesse ; Grossesse prolongee ; Prise de décision ; Sage-femme ; Soins centrés sur le patient |
Résumé : |
Introduction : Society and women in particular have a growing awareness of the importance of human rights in childbirth. There is increased understanding of the broader health consequences of routine postdates induction of labour (IOL). An exploratory study looking at women's experience of declining IOL is timely.
Aim : To explore women's experience of decision making when declining IOL for postdates. Objective: To give voice to women's experiences. Methodology and methods: This study used an interpretative phenomenological analysis (IPA) methodology. Five women choosing to decline IOL for postdates were interviewed in spring 2022 using online semi-structured interviews. Data were analysed over the following six months. Findings: The main themes arising from analysis were: 'Attitudes to pregnancy, birth and IOL'; 'weighing up the evidence: pregnancy, birth and IOL';lrelationships'; and 'feeling the pressure'. Discussion and conclusion: Women made the decision to decline postdates IOL because it did not align with their philosophy of birth and seemed, to them, overly risky when compared to expectant management. Self-efficacy was a major factor in their ability to exercise autonomy by making the decision to decline IOL. Authorities of knowledge, trust (and loss of trust) and risk all played significant roles in the participants' iterative process of decision making. Two women receiving continuity of care (COC) had their decisions respected by their midwives and were left feeling empowered by their experience. Three women under standard NHS midwifery care felt their decisions were not respected and were left feeling undermined, let down and disillusioned by the system. Woman-centred care will remain rhetorical until we develop a culture that creates a space where midwives and doctors can listen to women, respect their decision making, and support their choices without fear of retribution. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
Midwifery Digest Vol. 34, n° 1 (March 2024) | Périodique électronique | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |