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Women’s psychological experiences of physiological childbirth: A meta-synthesis

Women’s psychological experiences of physiological childbirth: A meta-synthesis

Title: Women’s psychological experiences of physiological childbirth: A meta-synthesis
Author: Olza Fernandez, Ibone   orcid.org/0000-0002-9614-9496
Leahy-Warren, Patricia   orcid.org/0000-0002-4443-4471
Benyamini, Yael   orcid.org/0000-0001-5110-8212
Kazmierczak, Maria   orcid.org/0000-0001-7323-2580
Karlsdottir, Dr. Sigfridur Inga   orcid.org/0000-0001-5886-9196
Spyridou, Andria   orcid.org/0000-0002-2415-6240
Crespo Mirasol, Esther   orcid.org/0000-0003-3800-3672
Takács, Lea
Hall, Priscilla J
Murphy, Margaret
... 3 more authors Show all authors
Date: 2018-10-01
Language: English
Scope: e020347
University/Institute: Háskólinn á Akureyri
University of Akureyri
School: Heilbrigðisvísindasvið (HA)
School of Health Sciences (UA)
Department: Hjúkrunarfræðideild (HA)
Faculty of Nursing (UA)
Series: BMJ Open;8(10)
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2017-020347
Subject: Childbirth; Empowerment; Lived experiences; Obstetrics; Pyschological childbirth; Psychological; Fæðing; Valdefling; Fæðingarlækningar; Sálfræði; Reynslusögur
URI: https://hdl.handle.net/20.500.11815/1069

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Olza I, Leahy-Warren P, Benyamini Y, et al. Women’s psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open 2018;8:e020347. doi:10.1136/ bmjopen-2017-020347


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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© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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