Women‘s psychological experiences of physiological childbirth: a meta-synthesis

Ibone Olza , Patricia Leahy-Warren , Yael Benyamini , Maria Kaźmierczak , Sigfridur Inga Karlsdottir , Andria Spyridou , Esther Crespo-Mirasol , Lea Takács , Priscilla J. Hall , Margaret Murphy , Sigridur Sia Jonsdottir , Soo Downe , Marianne J. Nieuwenhuijze


Objective To synthesise qualitative studies on women’s psychological experiences of physiological childbirth. Design Meta-synthesis. Methods Studies exploring women’s psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography. Results Eight studies involving 94 women were included. Three third order interpretations were identified: ‘maintaining self-confidence in early labour’, ‘withdrawing within as labour intensifies’ and ‘the uniqueness of the birth experience’. Using the first, second and third order interpretations, a line of argument developed that demonstrated ‘the empowering journey of giving birth’ encompassing the various emotions, thoughts and behaviours that women experience during birth. Conclusion Giving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary.
Author Ibone Olza
Ibone Olza,,
, Patricia Leahy-Warren
Patricia Leahy-Warren,,
, Yael Benyamini
Yael Benyamini,,
, Maria Kaźmierczak (FSS/IPsych/DRFQL)
Maria Kaźmierczak,,
- Division of Research on Family and Quality of Life
, Sigfridur Inga Karlsdottir
Sigfridur Inga Karlsdottir,,
, Andria Spyridou
Andria Spyridou,,
, Esther Crespo-Mirasol
Esther Crespo-Mirasol,,
, Lea Takács
Lea Takács,,
, Priscilla J. Hall
Priscilla J. Hall,,
, Margaret Murphy
Margaret Murphy,,
et al.`
Journal seriesBMJ Open, ISSN 2044-6055, (A 35 pkt)
Issue year2018
Publication size in sheets0.50
Article numbere020347
ASJC Classification2700 General Medicine
URL https://bmjopen.bmj.com/content/bmjopen/8/10/e020347.full.pdf
Languageen angielski
LicenseJournal (articles only); published final; Uznanie Autorstwa - Użycie Niekomercyjne (CC-BY-NC); with publication
Score (nominal)35
Score sourcejournalList
ScoreMinisterial score = 35.0, 13-02-2020, ArticleFromJournal
Publication indicators WoS Citations = 4.000; Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.145; WoS Impact Factor: 2018 = 2.376 (2) - 2018=2.863 (5)
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