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

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2018
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Olza, Ibone
Leahy-Warren, Patricia
Benyamini, Yael
Kazmierczak, Maria
Karlsdottir, Sigfridur Inga
Crespo-Mirasol, Esther
Takács, Lea
Hall, Priscilla J.
Murphy, Margaret
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BMJ open. 2018, 8(10), e020347. eISSN 2044-6055. Available under: doi: 10.1136/bmjopen-2017-020347
Zusammenfassung

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.

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150 Psychologie
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ISO 690OLZA, Ibone, Patricia LEAHY-WARREN, Yael BENYAMINI, Maria KAZMIERCZAK, Sigfridur Inga KARLSDOTTIR, Andria SPYRIDOU, Esther CRESPO-MIRASOL, Lea TAKÁCS, Priscilla J. HALL, Margaret MURPHY, 2018. Women's psychological experiences of physiological childbirth : a meta-synthesis. In: BMJ open. 2018, 8(10), e020347. eISSN 2044-6055. Available under: doi: 10.1136/bmjopen-2017-020347
BibTex
@article{Olza2018-10-18Women-44592,
  year={2018},
  doi={10.1136/bmjopen-2017-020347},
  title={Women's psychological experiences of physiological childbirth : a meta-synthesis},
  number={10},
  volume={8},
  journal={BMJ open},
  author={Olza, Ibone and Leahy-Warren, Patricia and Benyamini, Yael and Kazmierczak, Maria and Karlsdottir, Sigfridur Inga and Spyridou, Andria and Crespo-Mirasol, Esther and Takács, Lea and Hall, Priscilla J. and Murphy, Margaret},
  note={Article Number: e020347}
}
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