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Midwifery. 2014 Apr;30(4):432-8. doi: 10.1016/j.midw.2013.04.013. Epub 2013 Jun 19.

What do midwives need to know about approaches of women towards labour pain management? A qualitative interview study into expectations of management of labour pain for pregnant women receiving midwife-led care in the Netherlands.

Author information

1
Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands. Electronic address: g.klomp@vumc.nl.
2
Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands.
3
Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands; Midwifery Education Program, McMaster University Hamilton, Ontario, Canada.
4
Department of Primary Care and Community Care, Women's Studies Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands.

Abstract

OBJECTIVE:

to investigate factors important to women receiving midwife-led care with regard to their expectations for management of labour pain.

DESIGN:

semi-structured ante partum interviews and analyses using constant comparison method.

PARTICIPANTS:

fifteen pregnant women between 36 and 40 weeks gestation receiving midwife-led care.

SETTING:

five midwifery practices across the Netherlands between June 2009 and July 2010.

MAIN OUTCOME:

women's expectations regarding management of labour pain.

RESULTS:

we found three major themes to be important in women's expectations for management of labour pain: preparation, support and control and decision-making. In regards to all these themes, three distinct approaches towards women's planning for pain management in labour were identified: the 'pragmatic natural', the 'deliberately uninformed' and the 'planned pain relief' approach.

CONCLUSION:

midwives need to recognise that women take different approaches to pain management in labour in order to adapt care to the individual woman.

KEYWORDS:

Childbirth; Labour pain; Midwife-led care

PMID:
23790961
DOI:
10.1016/j.midw.2013.04.013
[Indexed for MEDLINE]
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