A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

Eri, Tine Schauer; Bondas, Terese; Groß, Mechthild M.; Janssen, Patricia A.; Green, Josephine M.

doi:10.1016/j.midw.2014.11.007

Cited by 50 publications

(39 citation statements)

References 42 publications

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“…While our study was carried out in one geographical area, there is no reason to believe that women in other settings will experience and perceive spontaneous rupture of membranes differently. Common concerns related to early labour drawn from different countries have been reported in a meta-synthesis (Eri, Bondas, Gross, Janssen, & Green, 2015). Our findings therefore have utility to support the information provided to women during pregnancy and in antenatal education across a range of international settings.…”

Section: Discussionsupporting

confidence: 61%

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Women's expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid

Spiby

Borrelli

2017

Journal of Advanced Nursing

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Section: Discussionsupporting

confidence: 61%

“…Common concerns related to early labour drawn from different countries have been reported in a meta-synthesis (Eri et al, 2015). Our findings therefore have utility to support the information provided to women during pregnancy and within antenatal education across a range of international settings.…”

Section: Discussionsupporting

confidence: 61%

Women's expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid

Spiby

Borrelli

2017

Journal of Advanced Nursing

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“…The latent phase of labor is the time between the beginning of labor symptoms and the onset of the active phase . The latent phase has been described as highly variable both in duration and with regard to women's experiences . Clinical guidelines for the care of healthy, low‐risk women recommend remaining at home during latent phase .…”

Section: Introductionmentioning

confidence: 99%

Describing latent phase duration and associated characteristics among 1281 low‐risk women in spontaneous labor

Tilden

Phillippi

Ahlberg

et al. 2019

Birth

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Background: Recent research suggests that latent phase of labor may terminate at 6 rather than 4 centimeters of cervical dilation. The objectives of this study were to: (a) characterize duration of the latent phase of labor among term, low-risk, United States women in spontaneous labor using the women's self-identified onset; and (b) quantify associations between demographic and maternal/newborn health characteristics and the duration of the latent phase. Methods: This prospective study (n = 1281) described the duration of the latent phase of labor in hours, stratified by parity at the mean, median, and 80th, 90th, and 95th percentiles. The duration of the latent phase was compared for each characteristic using t tests or Wilcoxon rank-sum tests and regression models that controlled for confounders. Results: In this sample of predominantly white, healthy women, duration of the latent phase of labor was longer than described in previous studies: The median duration was 9.0 hours and mean duration was 11.8 hours in nulliparous women. The median duration was 6.8 hours and mean duration was 9.3 hours in multiparous women. Among nulliparous women, longer duration was seen in women whose fetus was in a malposition. Among multiparous women, longer durations were noted in women with chorioamnionitis and those who gave birth between 41 and 41 + 6 weeks' gestation (vs between 40 and 40 + 6 weeks' gestation).

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“…14 Several studies have used qualitative techniques to examine women's views and experience of care in early labour. [15][16][17][18] The findings of these studies reflect women's uncertainty and anxiety about presenting at the hospital at the right time, worry about being sent home if they arrive too early, their need for validation, the pressure as well as support provided by friends and family, surprise and consternation regarding the intensity of pain in early labour and fatigue resulting in reduced ability to cope. Other qualitative studies have examined the care of women in early labour from the midwives' perspective.…”

Section: Introductionmentioning

confidence: 85%

Sociodemographic differences in women’s experience of early labour care: a mixed methods study

Henderson

Redshaw

2017

BMJ Open

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ObjectivesTo explore women’s experiences of early labour care focusing on sociodemographic differences, and to examine the effect of antenatal education, using mixed methods.SettingEngland, 2014.ParticipantsWomen who completed postal questionnaires about their experience of maternity care, including questions about antenatal education, early labour and sociodemographic factors, included space for free-text comments.Outcome measuresWorries about labour, contact with midwives in early labour and subsequent care.MethodsThis study was based on secondary analysis of a national maternity survey carried out in England in 2014. Quantitative data were analysed using descriptive statistics and binary logistic regression; qualitative data were analysed using a thematic content analytic approach.ResultsCompleted questionnaires were received from 4578 women (47% response rate). There were significant differences by sociodemographic factors, particularly ethnicity, in women’s worries about early labour. Compared with white women, women from black or minority ethnic groups had an adjusted OR of 1.93 (95% CI 1.56 to 2.39) of feeling worried about not knowing when labour would start. Among women who contacted a midwife at the start of labour, 84% perceived their advice as appropriate, more in older and multiparous women. Overall, 64% of women were asked to come to the hospital at this time, more in multiparous women (adjusted OR 1.63, 95% CI 1.35 to 1.96). Those who did not have access to antenatal education experienced greater worry about early labour. Five themes emerged from the qualitative analysis: ‘Differentiating between early and active labour’, ‘Staff attitudes’, ‘Not being allowed…’, ‘Previous labours’ and ‘Perceived consequences for women’.ConclusionThese findings reinforce the importance of providing reassurance to women in early labour, taking care that women do not feel neglected or dismissed. In particular, primiparous and ethnic minority women reported greater worry about early labour and require additional reassurance.

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A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

Cited by 50 publications

References 42 publications

Women's expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid

Women's expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid

Describing latent phase duration and associated characteristics among 1281 low‐risk women in spontaneous labor

Sociodemographic differences in women’s experience of early labour care: a mixed methods study

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