Pain relief in labour: a qualitative study to determine how to support women to make decisions about pain relief in labour

Lally, Joanne, Thomson, Richard G., MacPhail, Sheila and Exley, Catherine (2014) Pain relief in labour: a qualitative study to determine how to support women to make decisions about pain relief in labour. BMC Pregnancy and Childbirth, 14 (6). ISSN 1471-2393

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Official URL: http://dx.doi.org/10.1186/1471-2393-14-6

Abstract

Background
Engagement in decision making is a key priority of modern healthcare. Women are encouraged to make decisions about pain relief in labour in the ante-natal period based upon their expectations of what labour pain will be like. Many women find this planning difficult. The aim of this qualitative study was to explore how women can be better supported in preparing for, and making, decisions during pregnancy and labour regarding pain management.

Methods
Semi-structured interviews were conducted with 13 primiparous and 10 multiparous women at 36 weeks of pregnancy and again within six weeks postnatally. Data collection and analysis occurred concurrently to identify key themes.

Results
Three main themes emerged from the data. Firstly, during pregnancy women expressed a degree of uncertainty about the level of pain they would experience in labour and the effect of different methods of pain relief. Secondly, women reflected on how decisions had been made regarding pain management in labour and the degree to which they had felt comfortable making these decisions. Finally, women discussed their perceived levels of control, both desired and experienced, over both their bodies and the decisions they were making.

Conclusion
This study suggests that the current approach of antenatal preparation in the NHS, of asking women to make decisions antenatally for pain relief in labour, needs reviewing. It would be more beneficial to concentrate efforts on better informing women and on engaging them in discussions around their values, expectations and preferences and how these affect each specific choice rather than expecting them to make to make firm decisions in advance of such an unpredictable event as labour.

Item Type: Article
Uncontrolled Keywords: pain relief, shared decision making, antenatal education, risk communication
Subjects: A900 Others in Medicine and Dentistry
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Ay Okpokam
Date Deposited: 14 Feb 2017 12:05
Last Modified: 24 Oct 2017 11:47
URI: http://nrl.northumbria.ac.uk/id/eprint/29660

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