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. 2020 Sep;34(3):792-799.
doi: 10.1111/scs.12786. Epub 2019 Oct 27.

Traumatic childbirth experiences: practice-based implications for maternity care professionals from the woman's perspective

Diana Koster  1 , Chantal Romijn  2 , Elvira Sakko  2 , Catelijne Stam  2 , Nienke Steenhuis  2 , Daniëlle de Vries  2 , Ilze van Willigen  2 , Yvonne Fontein-Kuipers  2   3
Affiliations

Traumatic childbirth experiences: practice-based implications for maternity care professionals from the woman's perspective

Diana Koster et al. Scand J Caring Sci. 2020 Sep.

Abstract

Objective: To explore women's traumatic childbirth experiences in order to make maternity care professionals more aware of women's intrapartum care needs.

Method: A qualitative exploratory study with a constant comparison/grounded theory design was performed. Thirty-six interviews were conducted with women who had given birth in a Dutch birth setting.

Findings: Three themes, playing a profound role in the occurrence of traumatic birth experiences, emerged: (i) lack of information and consent - maternity care professionals' unilateral decision making during intrapartum care, lacking informed-consent. (ii) feeling excluded - women's mal-adaptive response to the healthcare professionals's one-sided decision making, leaving women feeling distant and estranged from the childbirth event and the experience. (iii) discrepancies - inconsistency between women's expectations and the reality of labour and birth - on an intrapersonal level.

Conclusion: Women's intrapartum care needs cohere with the concept of woman-centred care, including personalised care and reflecting humanising values. Care should include informed consent and shared decision-making. Maternity care professionals need to continuously evaluate whether the woman is consistently part of her own childbearing process. Maternity care professionals should maintain an ongoing dialogue with the woman, including women's internalised ideas of birth.

Keywords: intrapartum care; maternity care; midwives; qualitative research; traumatic birth experience.

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