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Maintaining power: women's experiences from labour onset before admittance to maternity ward
Örebro University, School of Health and Medical Sciences. School of Social and Health Sciences, Halmstad University, Halmstad, Sweden; Halmstad County Hospital, Halmstad, Sweden.
School of Social and Health Sciences, Halmstad University, Sweden.
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0003-3702-3831
Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden; School of Life Science, University of Skövde, Sweden.
2012 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 1, p. 86-92Article in journal (Refereed) Published
Abstract [en]

Background: in Sweden pregnant women are encouraged to remain at home until the active phase of labour. Recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications than women who remain at home until the active phase of labour. The aim of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to labour ward.

Method: interviews were conducted with 19 women after they had given birth to their first child. A Constructivist Grounded theory method was used.

Findings: ‘Maintaining power’ was identified as the core category, explaining the women's experience of having enough power, when the labour started. Four related categories: ‘to share the experience with another’, ‘to listen to the rhythm of the body’, ‘to distract oneselfand ‘to be encased in a glass vessel’, explained how the women coped and thereby maintained power.

Conclusions: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Elsevier, 2012. Vol. 28, no 1, p. 86-92
Keyword [en]
Experiences, grounded theory, labour onset, maintaining power
National Category
Nursing
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:oru:diva-14078DOI: 10.1016/j.midw.2010.11.011ISI: 000299324500013PubMedID: 21237538Scopus ID: 2-s2.0-84855931014OAI: oai:DiVA.org:oru-14078DiVA: diva2:389413
Available from: 2011-01-19 Created: 2011-01-19 Last updated: 2017-12-11Bibliographically approved

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Carlsson, Ing-MarieZiegert, KristinaSahlberg-Blom, Eva

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