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. 2019 Sep;46(3):400-410.
doi: 10.1111/birt.12412. Epub 2018 Dec 18.

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

Stina Lou  1   2 , Lone Hvidman  3   4 , Niels Uldbjerg  3   4 , Lone Neumann  5 , Trine Fritzner Jensen  5 , Joke-Gesine Haben  3 , Kathrine Carstensen  1
Affiliations

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

Stina Lou et al. Birth. 2019 Sep.

Abstract

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.

Keywords: experience; induction of labor; postterm pregnancy; qualitative research; systematic review.

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References

REFERENCES

    1. Kjeldsen LL, Sindberg M, Maimburg RD. Earlier induction of labour in post term pregnancies-a historical cohort study. Midwifery. 2015;31(5):526-531.
    1. Laughon SK, Zhang J, Grewal J, Sundaram R, Beaver J, Reddy UM. Induction of labor in a contemporary obstetric cohort. Am J Obste Gynecol. 2012;206(6):486.e1-9.
    1. Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Matthews TJ. Births: final data for 2015. National Vital Statistics Report. 2017;66:1-70.
    1. NHS Digital.NHS maternity statistics 2016-17. https://files.digital.nhs.uk/pdf/l/1/hosp-epis-stat-mat-repo-2016-17.pdf. Accessed October 10, 2018.
    1. Rayburn WF, Zhang J. Rising rates of labor induction: present concerns and future strategies. Obstet Gynecol. 2002;100(1):164-167.

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