Women's satisfaction with decision-making related to augmentation of labour

Midwifery. 2004 Mar;20(1):104-12. doi: 10.1016/j.midw.2003.07.001.

Abstract

Objective: to describe women's experiences of participating in decision-making related to augmentation of labour.

Design: a qualitative approach using modified grounded theory technique. Open-ended interviews were conducted 1-3 days after childbirth.

Setting: the interviews were performed in the postnatal wards in five hospitals (tertiary level) in Stockholm, Sweden.

Participants: 20 newly delivered women who had received oxytocin infusion for augmentation of labour during childbirth. FINDINGS AND KEY CONCLUSIONS: support and guidance from midwives in combination with knowledge and expectations about the intervention seemed to be important for women's satisfaction with decision-making concerning augmentation of labour. Four patterns of decision-making were found. One group of women participated in the decision-making regarding augmentation of labour while a second group was invited, but refrained from participation. These women were satisfied with the decisions made. A third group of women did not participate, but wanted to and they were dissatisfied with the decisions made. The fourth group did not participate in the decision-making-and did not want to. These women accepted the decisions made. The desire for information exceeded the desire for involvement in decision-making and the majority of women had confidence in the midwives' assessment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anecdotes as Topic
  • Decision Making*
  • Female
  • Humans
  • Infant, Newborn
  • Labor, Induced* / psychology
  • Midwifery / standards*
  • Mothers / education*
  • Mothers / psychology
  • Nurse Midwives / standards
  • Nurse-Patient Relations
  • Nursing Methodology Research
  • Oxytocics*
  • Patient Education as Topic / methods
  • Patient Participation
  • Patient Satisfaction*
  • Pregnancy
  • Surveys and Questionnaires
  • Sweden

Substances

  • Oxytocics