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A known midwife can make a difference for women with fear of childbirth- birth outcome and women's experiences of intrapartum care
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Uppsala University, Uppsala.
Uppsala University, Uppsala.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Uppsala University, Uppsala; University of Melbourne, Wangaratta, Victoria, Australia.
2019 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 21, p. 33-38Article in journal (Refereed) Published
Abstract [en]

Background: There is evidence that continuity of midwifery care is beneficial to women. Women with fear of childbirth in Sweden are offered counselling, but receiving care from a known midwife during labour is unusual, despite its effects in reducing interventions and increasing birth satisfaction. The aim of this study was to describe and compare birth outcome and experience of intrapartum care among women with fear of childbirth who received intrapartum care from a known midwife, versus those who did not. Methods: An experimental study of 70 women referred to counselling due to fear of birth during pregnancy wherein the counselling midwife, when possible, also assisted during labour and birth. Results: Having a known midwife during labour and birth had a positive impact on fearful women's birth experience and their perception of pain, but there was no difference in onset of labour or mode of birth. Women who received care from a known midwife experienced better care with regards to information, participation in decision making and perception of control. Conclusion: This study indicates that having access to a known midwife might have an impact on women's birth experience. This study was limited by its small sample size and further research would need to randomise fearful women to counselling or continuity of care to determine the contribution of each to reducing fear. 

Place, publisher, year, edition, pages
2019. Vol. 21, p. 33-38
Keywords [en]
Birth experience, Continuity, Counseling, Fear of childbirth, Intrapartum care, adult, article, controlled study, decision making, experimental study, female, human, labor onset, major clinical study, midwife, nociception, patient care, pregnancy outcome, sample size
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Nursing
Identifiers
URN: urn:nbn:se:miun:diva-36689DOI: 10.1016/j.srhc.2019.06.004Scopus ID: 2-s2.0-85067361825OAI: oai:DiVA.org:miun-36689DiVA, id: diva2:1336518
Available from: 2019-07-09 Created: 2019-07-09 Last updated: 2019-07-09Bibliographically approved

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4647484950515249 of 1131
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