A Systematic Review of Maternal Confidence for Physiologic Birth: Characteristics of Prenatal Care and Confidence Measurement

Avery, Melissa D.; Saftner, Melissa A.; Larson, Bridget K.; Weinfurter, Elizabeth

doi:10.1111/jmwh.12269

Cited by 28 publications

(21 citation statements)

References 31 publications

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“…These findings are similar to studies analyzed in a recent systematic review highlighting women's need for information and relationships with supportive prenatal care providers. Researchers have identified themes that include a supportive, continuous, and reciprocal relationship with maternity care providers; women's seeking information within and external to the maternity care provider relationship; and the importance of the maternity care provider in helping women feel confident for physiologic birth .…”

Section: Discussionsupporting

confidence: 87%

Women's Perceptions of Prenatal Influences on Maternal Confidence for Physiologic Birth

Avery¹,

Neerland²,

Saftner³

2018

J Midwife Womens Health

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Introduction A physiologic approach to labor and birth is preferred for most women. The United States spends more on birth than any other country. Cesarean rates are currently 32%, and approximately 23% of women with a singleton pregnancy experience induction or augmentation of labor. Most physiologic birth research has focused on care during labor and birth. The purpose of this study was to describe women's perceptions of the care processes, support, and information received during pregnancy that helped them feel confident for physiologic labor and birth. Methods Using a qualitative descriptive design with 2 phases, women were recruited from an urban area and a smaller city in Minnesota. Phase 1 included focus groups with women who had given birth within the previous 6 months. They participated in a discussion about experiences that helped them feel confident for labor and birth. In Phase 2, women who had a physiologic birth, which was defined as term pregnancy, spontaneous labor, no epidural analgesia, and vaginal birth, participated in individual interviews. Focus group and individual interview recordings were transcribed and analyzed using Glaser's constant comparative approach. Results Thirty‐eight women participated in 9 focus groups. Seventeen women had a physiologic birth; 14 participated in individual interviews. Themes derived from the analysis included confidence in the face of uncertainty, belief in the normalcy of birth and the body's ability to birth, research on my own, supportive care partnership, on the same page, and sources of information and support. Discussion Women who experienced physiologic birth believed that this was possible and expected. They sought information, including searching on their own, from maternity care providers and a broader support system. Relationships with their maternity care providers were important. Prenatal care focused on women's strengths and abilities, while also monitoring pregnancy health and safety, may help reduce unnecessary interventions, improve outcomes, and reduce costs.

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Section: Discussionsupporting

confidence: 87%

Women's Perceptions of Prenatal Influences on Maternal Confidence for Physiologic Birth

Avery¹,

Neerland²,

Saftner³

2018

J Midwife Womens Health

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“…The electronic databases Ovid MEDLINE, CINAHL, PsycINFO, and Sociological Abstracts were accessed to identify peer‐reviewed articles published from 1995 through the end of 2015. This time frame was selected because literature and clinical practice have increasingly focused on physiologic childbirth in the last 2 decades . Search terms included the headings pregnancy , obstetric care , and prenatal care and the truncated keyword confiden*.…”

Section: Methodsmentioning

confidence: 99%

“…This time frame was selected because literature and clinical practice have increasingly focused on physiologic childbirth in the last 2 decades. 19 Search terms included the headings pregnancy, obstetric care, and prenatal care and the truncated keyword confiden*. The heading self-efficacy was also searched to potentially identify articles on maternal confidence.…”

Section: Methodsmentioning

confidence: 99%

Maternal Confidence for Physiologic Childbirth: A Concept Analysis

Neerland¹

2018

J Midwife Womens Health

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“…4 (Avery, Saftner, Larson, & Weinfurter, 2014;Berg, 2005;Graneheim, Johansson, & Lindgren, 2014;Killick & Taylor, 2009)…”

Section: Qualitative Research In Cochrane Systematicmentioning

confidence: 99%

Considering axiological integrity: a methodological analysis of qualitative evidence syntheses, and its implications for health professions education

Kelly

Ellaway

Reid

et al. 2018

Adv in Health Sci Educ

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Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative reviews in HPE remains underdeveloped. This study examined QES methods applied to clinical humanism in healthcare as a way of advancing thinking around the use of QES in HPE in general. A systematic search strategy identified 49 reviews that fulfilled the inclusion criteria. Meta-study was used to develop an analytic summary of methodological characteristics, the role of theory, and the synthetic processes used in QES reviews. Fifteen reviews used a defined methodology, and 17 clearly explained the processes that led from data extraction to synthesis. Eight reviews adopted a specific theoretical perspective. Authors rarely described their reflexive relationship with their data. Epistemological positions tended to be implied rather than explicit. Twenty-five reviews included some form of quality appraisal, although it was often unclear how authors acted on its results. Reviewers under-reported qualitative approaches in their review methodologies, and tended to focus on elements such as systematicity and checklist quality appraisal that were more germane to quantitative evidence synthesis. A core concern was that the axiological (value) dimensions of the source materials were rarely considered let alone accommodated in the synthesis techniques used. QES can be used in HPE research but only with careful attention to maintaining axiological integrity.

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A Systematic Review of Maternal Confidence for Physiologic Birth: Characteristics of Prenatal Care and Confidence Measurement

Cited by 28 publications

References 31 publications

Women's Perceptions of Prenatal Influences on Maternal Confidence for Physiologic Birth

Women's Perceptions of Prenatal Influences on Maternal Confidence for Physiologic Birth

Maternal Confidence for Physiologic Childbirth: A Concept Analysis

Considering axiological integrity: a methodological analysis of qualitative evidence syntheses, and its implications for health professions education

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