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- Karlsdottir, Sigfridur Inga, et al.
(författare)
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The third paradigm in labour pain preparation and management: the childbearing woman´s perspective
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318. ; 28:2, s. 315-327
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Tidskriftsartikel (refereegranskat)abstract
- The study’s rationale: Women’s experiences regarding labour pain preparation and management have been largely neglected. Aims and objectives: Explore women’s experiences regarding labour pain preparation and management in normal childbirth. Methodological design and justification: The Vancouver School of doing phenomenology was the methodological approach of the study since it provides inside information about the lived experience. Research methods: Data were collected through in-depth interviews with 14 participants; seven primiparous and seven multiparous women. Results: The women described a challenging journey of no return through labour pain, with different landmarks on the journey. They described how they prepared for the pain; the context of the pain experience; how they experienced and managed the pain with different strategies and how they saw the pain at the journey’s end. The quality of the midwife’s presence and professionalism was of great importance to them. The ‘good midwives’ they described created a special atmosphere which was warm and secure and was conducive to their managing the pain. The women also described how important it was for them to have a supportive partner, with whom they had a mutual understanding, in order to manage the pain. Conclusions: In this paper, we are presenting a study within the third paradigm in labour pain preparation and management: the childbearing woman’s paradigm – the first and second being the midwifery and the medical paradigm, respectively. Midwives can play a major role in working with women in their preparation and management of labour pain. In the future, more research has to be done to illuminate this essential part of the childbearing woman’s paradigm.
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| 2. |
- Karlsdottir, Sigfridur Inga, et al.
(författare)
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The women's perspective of childbirth pain
- 2017
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Ingår i: 31th ICM Triennial Congress 18-22 June 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Woman’s perspective on pain in childbirth may be called the ‘third perspective’ in labour pain preparation and management; the first being the midwifery perspective and the second the medical perspective. In western society pain is often seen as a negative phenomenon. However, it can be of great importance for women and midwives to acknowledge that pain can be regarded not only in a negative light but also in a positive light. Purpose/Objective: The purpose of the study was to explore women’s experience of labour pain and their strategies to manage the pain in normal childbirth. Method: A phenomenological approach using the Vancouver school of doing phenomenology guided the process. Data were collected through 14 in-depth interviews. Fourteen women, seven primiparas and seven multiparas, all having normal labour with different kinds of pain management. They all had normal pregnancies and healthy babies. The interviews took place from 8-52 hours after birth. Key Findings: The phenomenon of labour pain was constructed by the participants’ descriptions of the pain itself; how the pain made them feel; the context of the pain; the importance of talking about the pain afterwards; and changed ideas about pain after the birth. The three main strategies to manage the pain was constructed of the women’s descriptions of developing strategies during pregnancy to manage the pain during childbirth; strategies used by the women when the pain was not yet too bad and strategies used by the women when the pain got worse. Having a good midwife to help them manage the pain and a spouse present to help them in managing the pain. Discussion: Midwives must strengthen women’s self-confidence, facilitating recognition of her own strengths and capacities during birth and guide women to develop their own strategies to manage the pain before and through birth.
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