Traumatic childbirth experiences: practice‐based implications for maternity care professionals from the woman's perspective

Koster, Diana; Romijn, Chantal; Sakko, Elvira; Stam, Catelijne; Steenhuis, Nienke; Vries, Dani�lle; Willigen, Ilze; Fontein?Kuipers, Yvonne

Abstract

Objective: To explore women’s traumatic childbirth experiences in order to make maternity care professionals more aware of women’s intrapartum care needs.

Method: A qualitative exploratory study with a constant comparison/grounded theory design was performed. Thirty-six interviews were conducted with women who had given birth in a Dutch birth setting.

Findings: Three themes, playing a profound role in the occurrence of traumatic birth experiences, emerged: (i) lack of information and consent – maternity care professionals’ unilateral decision making during intrapartum care, lacking informed-consent. (ii) feeling excluded – women’s mal-adaptive response to the healthcare
professionals’ one-sided decision making, leaving women feeling distant and estranged from the childbirth event and the experience. (iii) discrepancies – inconsistency between women’s expectations and the reality of labour and birth – on an intrapersonal level.

Conclusion: Women’s intrapartum care needs cohere with
the concept of woman-centred care, including personalised care and reflecting humanising values. Care should include informed consent and shared decision-making. Maternity care professionals need to continuously evaluate whether the woman is consistently part of her own childbearing process. Maternity care professionals should
maintain an ongoing dialogue with the woman, including women’s internalised ideas of birth.

Citation

Koster, D., Romijn, C., Sakko, E., Stam, C., Steenhuis, N., Vries, D., …Fontein‐Kuipers, Y. (2020). Traumatic childbirth experiences: practice‐based implications for maternity care professionals from the woman's perspective. Scandinavian Journal of Caring Sciences, 34(3), 792-799. https://doi.org/10.1111/scs.12786

• Journal Article Type: Article
• Acceptance Date: Oct 2, 2019
• Online Publication Date: Oct 27, 2019
• Publication Date: 2020-09
• Deposit Date: Jan 10, 2022
• Journal: Scandinavian Journal of Caring Sciences
• Print ISSN: 0283-9318
• Electronic ISSN: 1471-6712
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 34
• Issue: 3
• Pages: 792-799
• DOI: https://doi.org/10.1111/scs.12786
• Keywords: traumatic birth experience; maternity care; midwives; intrapartum care; qualitative research
• Public URL: http://researchrepository.napier.ac.uk/Output/2833241