Women's experiences of intrapartum care and recovery in relation to planned caesarean sections: An interview study

Thirukumar, P; Coates, D; Henry, A

Women's experiences of intrapartum care and recovery in relation to planned caesarean sections: An interview study

Thirukumar, P Coates, D

Henry, A

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Women and Birth, 2020
Issue Date:: 2020-01-01

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Field	Value	Language
dc.contributor.author	Thirukumar, P
dc.contributor.author	Coates, D https://orcid.org/0000-0002-4463-7615
dc.contributor.author	Henry, A
dc.date.accessioned	2020-10-02T00:31:34Z
dc.date.available	2020-10-02T00:31:34Z
dc.date.issued	2020-01-01
dc.identifier.citation	Women and Birth, 2020
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/142995
dc.description.abstract	© 2020 Australian College of Midwives Problem and background: Approximately one third of women in high-income countries give birth by caesarean section (CS). Better understanding of women's CS experiences is vital in identifying opportunities to improve women's experience of care. Aim: To identify opportunities for service improvement by investigating Australian women's experiences of care and recovery when undergoing a planned CS. Methods: Qualitative telephone interview study with 33 women who had a planned CS at one of eight Australian hospitals. Semi-structured interviews were conducted to elicit women's perspectives, experiences and beliefs surrounding their planned CS. Interviews were transcribed verbatim and analysed inductively using NVivo-12. Results: Women's experiences of CS care were mixed. Regarding intrapartum care, many women stated their planned CS was a positive experience compared to a previous emergency CS, but was scarier and more medicalised compared to vaginal birth. CS recovery was viewed more negatively, with women feeling unprepared. They reported disliking how CS recovery restricted their role as a mother, wanting more time in hospital, and greater support and continuity of care. Discussion: Women reported largely positive intrapartum experiences of planned CS but relatively negative experiences of CS recovery. They wished for time in hospital and support from staff during recovery, and continuity of care. Conclusion: By incorporating shared decision-making antenatally, clinicians can discuss women's birth expectations with them and better prepare them for their planned CS and recovery.
dc.language	en
dc.publisher	Elsevier BV
dc.relation.ispartof	Women and Birth
dc.relation.isbasedon	10.1016/j.wombi.2020.05.001
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.title	Women's experiences of intrapartum care and recovery in relation to planned caesarean sections: An interview study
dc.type	Journal Article
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
utslib.copyright.embargo	2022-01-01T00:00:00+1000Z
dc.date.updated	2020-10-02T00:31:14Z
pubs.publication-status	Published

Abstract:

© 2020 Australian College of Midwives Problem and background: Approximately one third of women in high-income countries give birth by caesarean section (CS). Better understanding of women's CS experiences is vital in identifying opportunities to improve women's experience of care. Aim: To identify opportunities for service improvement by investigating Australian women's experiences of care and recovery when undergoing a planned CS. Methods: Qualitative telephone interview study with 33 women who had a planned CS at one of eight Australian hospitals. Semi-structured interviews were conducted to elicit women's perspectives, experiences and beliefs surrounding their planned CS. Interviews were transcribed verbatim and analysed inductively using NVivo-12. Results: Women's experiences of CS care were mixed. Regarding intrapartum care, many women stated their planned CS was a positive experience compared to a previous emergency CS, but was scarier and more medicalised compared to vaginal birth. CS recovery was viewed more negatively, with women feeling unprepared. They reported disliking how CS recovery restricted their role as a mother, wanting more time in hospital, and greater support and continuity of care. Discussion: Women reported largely positive intrapartum experiences of planned CS but relatively negative experiences of CS recovery. They wished for time in hospital and support from staff during recovery, and continuity of care. Conclusion: By incorporating shared decision-making antenatally, clinicians can discuss women's birth expectations with them and better prepare them for their planned CS and recovery.

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http://hdl.handle.net/10453/142995