Women׳s perceptions of induction of labour outcomes: Results of an online-survey in Germany

Schwarz, Christiane; Groß, Mechthild M.; Heusser, Peter; Berger, Bettina

doi:10.1016/j.midw.2016.02.002

Cited by 42 publications

(52 citation statements)

References 26 publications

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“…15 However, recent studies comparing IOL and expectant management have not shown a higher risk of adverse outcomes. [22][23][24] In an online survey among women with induced labor (all indications), 25 the majority (57%) would not choose IOL in a future pregnancy and requested more information on alternatives and more participation in decision making. 19 Complications such as cord prolapse and placental abruption are uncommon.…”

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confidence: 99%

“…However, other studies have found that IOL was associated with less satisfaction, a less-positive birthing experience, and a higher concern for the baby's safety. [22][23][24] In an online survey among women with induced labor (all indications), 25 the majority (57%) would not choose IOL in a future pregnancy and requested more information on alternatives and more participation in decision making. These results are important because a negative birth experience is associated with postpartum mental health problems.…”

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confidence: 99%

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Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Lou

Hvidman

Uldbjerg

et al. 2018

Birth

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Background: Over the last decade, induction of labor (IOL) in postterm pregnancies has increased. Studies have shown the medical advantages of postterm IOL, but less is known about the perspectives of the pregnant women. This review aimed to summarize the current qualitative evidence on women's experience of postterm IOL. Methods: A systematic literature search was performed in three databases. A total of 3193 publications were identified, but only eight studies met the inclusion criteria.Thematic analysis guided the data extraction and synthesis. The Confidence in the Evidence for Reviews of Qualitative research (CERQual) approach was used to assess confidence in the findings. Results: Three major findings were identified. First, for some women, IOL required a shift in expectations because the hope of spontaneous labor had to be given up.Second, the IOL decision was considered a recommendation from health care professionals and was experienced as a nondecision. Finally, the induction process was experienced as a sequential set of steps where the women were expected to fit into the existing hospital organization. The CERQual assessment suggested moderate confidence in all findings. Discussion: The negative experiences identified in this review can be greatly reduced by a communicative and patient-centered approach. To support informed choice and shared decision making, women need high-quality, unbiased information about IOL, alternative options, and potential outcomes, in addition to time for reflection on their personal values and preferences. Women may need a professionally initiated and supported opportunity to re-evaluate their hopes and expectations before IOL. K E Y W O R D Sexperience, induction of labor, postterm pregnancy, qualitative research, systematic review

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confidence: 99%

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confidence: 99%

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Lou

Hvidman

Uldbjerg

et al. 2018

Birth

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“…National obstetric guidelines are widely shared between the three countries, leading to a similar approach in care and clinical decision-making. Recently, Schwarz et al published the first quantitative results of a German online-survey investigating women's perceptions of IOL 27 . Most women were induced with misoprostol or PGE2, and most frequent reasons for IOL were post-maturity, physician's recommendation and medical indications.…”

Section: Introductionmentioning

confidence: 99%

“…Most women were induced with misoprostol or PGE2, and most frequent reasons for IOL were post-maturity, physician's recommendation and medical indications. Women indicated a high need for more information on alternatives to IOL, methods of IOL, side effects of the drugs and many would have wished for more support and time with decision-making 27 .…”

Section: Introductionmentioning

confidence: 99%

“…The present study represents a secondary data-analysis of the online-survey data from Schwarz et al 27 , adding a subgroup analysis concerning IOL methods applied, as well as reasons for IOL. Additionally, this study provides a first analysis of the women's answers to openended questions on their experience of labour and birth included in the original survey.…”

Section: Introductionmentioning

confidence: 99%

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Women’s experiences and perceptions of induction of labour: Results from a German online-survey

König-Bachmann¹,

Schwarz²,

Zenzmaier³

2017

Eur J Midwifery

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INTRODUCTION Induction of labour is common, with a large variety of indications and methods. Women's views and experiences still need to be explored in more depth. This study evaluated outcomes and childbirth experiences with different induction methods as perceived by women. METHODS A secondary data analysis of an online-survey with 698 participants comprising closed-ended and open-ended questions evaluating method and reason for induction, gestational age, mode of birth, assessment of received information, support and participation in decision-making, as well as the individual experience of labour and birth, was performed in 2015. Answers to open-ended questions were coded and assigned to main categories by inductive-content analysis. Subgroup analyses comparing frequencies of answer options or main categories dependent on induction methods and indications were conducted. RESULTS Women frequently expressed a need for more information and participation, and reported negative childbirth experiences. Women being offered castor oil or other complementary and alternative methods less often lacked information. However, these methods were markedly less effective to induce labour, but when successful were associated with reduced rates of epidural pain relieve and caesarean sections. Moreover, compared with prostaglandins, complementary methods were associated with significantly more positive personal experiences and fewer burdensome or traumatic births. CONCLUSIONS Our findings revealed a substantial lack of information and participation associated with many women perceiving negatively labour and childbirth following induction. Adequate honest information that gives way to realistic expectations about labour induction and enablement of participation are important prerequisites to improve personal experience and need to be enhanced in order to raise childbirth satisfaction.

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Predictors of maternal satisfaction with labor induction: A prospective observational cohort study

Ramlee,

Azhary,

Hamdan

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo identify independent predictors of maternal satisfaction with labor induction.MethodIn this prospective observational cohort study, 769 women prior to their labor induction had sleep and psychological well‐being assessed using Pittsburgh Sleep Quality Index and Depression, Anxiety and Stress Scales. Women were asked about the adequacy of labor induction information provided and their involvement and time pressure felt in the decision‐making for their labor induction. Maternal characteristics, induction and intrapartum care measures, and labor and neonatal outcomes were also assessed. Prior to discharge, women rated their satisfaction with their birth experience.ResultsA total of 34 variables were considered for bivariate analysis, with 15 found to have P < 0.05. Following adjusted analysis, 10 independent predictors of maternal satisfaction were identified: maternal education, previous cesarean delivery, maternal involvement, information provided, and decision‐making time pressure regarding labor induction, amniotomy, induction to delivery interval, mode of delivery, postpartum hemorrhage, and neonatal admission. Maternal satisfaction was not associated with sleep, depression, anxiety, or stress.ConclusionThe identification of independent predictors of maternal satisfaction allows for patient selection, targeting of specific preinduction and intrapartum care, and focus on induction methods that can reduce induction to delivery interval, cesarean birth, and delivery blood loss to maximize women's satisfaction with labor induction.

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Women׳s perceptions of induction of labour outcomes: Results of an online-survey in Germany

Cited by 42 publications

References 26 publications

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Women’s experiences and perceptions of induction of labour: Results from a German online-survey

Predictors of maternal satisfaction with labor induction: A prospective observational cohort study

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