Woodheart hospital
Women have reported negative experiences of maternity care during IOL, expressing feelings of anxiety and being fearful about the impact on themselves and their baby (Hildingsson et al., 2011 Wier et al., 2018). 2.93-6.90).Ĭlinicians counselling mothers concerning the need for labor induction should be aware of mothers' perceptions about birth and engage in true shared decision making in order to avoid the maternal perception of being pressured into labor induction. 1.11-2.07) and especially following a failed attempt at labor induction (aOR 4.50 95% C.I. Cesarean birth was more likely in the case of overall induction (aOR 1.51 95% C.I. The perception of being pressured to have labor induced was related to higher levels of education, maternal preference for less medical intervention in birth, having an obstetrician compared to a midwife and gestational ages of 41+ weeks. Elective inductions were more likely among multiparous mothers and in pregnancies at 39 or 40 weeks. Attempted induction overall was most strongly associated with giving birth at 41+ weeks (aOR 3.28 95% C.I.
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More than a third of the attempts (37%) were elective. Reasons for induction were classified as either medically indicated or elective.Īlmost half (47%) of our respondents indicated an attempt was made to medically induce their labor, and 71% of those attempts initiated labor. Mothers were asked if there had been an attempt to medically initiate labor, if it actually started labor, if they felt pressured to have the induction, if they had a cesarean and the reason for the induction.
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Study data are drawn from the 2119 respondents to the Listening to Mothers in California survey who were planning to have a vaginal birth in 2016. This study examines induction from the perspective of those women who experienced it, with a particular focus on the prevalence and predictors of inductions for nonmedical indications, women's experience of pressure to induce labor and the relationship between the attempt to medically initiate labor and cesarean section. Recent studies that have examined inductions have been small qualitative studies or relied on either medical records or administrative data. has risen from 9.6% in 1990 to 25.7% in 2018, including 31.7% of first-time births. The rate of induction of labor in the U.S. Care providers need to consider whether women undergoing induction are receiving adequate support, analgesia, and comfort aids conducive to the promotion of physiological labor and the reduction of anxiety. Thorough preparation for induction, including an explanation of possible delays is fundamental to enabling women to form realistic expectations. Women were not always clear about their plan of care, which added to their anxiety.Ĭonceptualizing induction as a liminal state may enhance understanding of women's feelings and promote a more woman-centered approach to care. Unexpected delays in the induction process were common and were a source of anxiety, as was separation from partners at night.
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Differences were noted between women's and midwives' notions of what constituted "being in labor" and the ward lacked the flexibility to provide individualized care for women in early labor. Women awaiting induction on the prenatal ward appeared to occupy a liminal state between pregnancy and labor.
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Data were recorded, transcribed, and analyzed thematically. Semi-structured interviews were conducted in women's homes between 3 and 6 weeks postnatally. This study aimed to explore in depth the induction experience of primiparous women.Ī qualitative study was undertaken, using a sample of 21 first-time mothers from a maternity unit in the south of England. Induction of labor currently accounts for around 25% of all births in high-resource countries, yet despite much research into medical aspects, little is known about how women experience this process.