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

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dc.contributor.author Olza, Ibone
dc.contributor.author Leahy-Warren, Patricia
dc.contributor.author Benyamini, Yael
dc.contributor.author Kazmierczak, Maria
dc.contributor.author Karlsdottir, Sigfridur Inga
dc.contributor.author Spyridou, Andria
dc.contributor.author Crespo-Mirasol, Esther
dc.contributor.author Takacs, Lea
dc.contributor.author Hall, Priscilla J.
dc.contributor.author Murphy, Margaret M.
dc.contributor.author Jonsdottir, Sigridur Sia
dc.contributor.author Downe, Soo
dc.contributor.author Nieuwenhuijze, Marianne J.
dc.date.accessioned 2019-06-05T15:15:03Z
dc.date.available 2019-06-05T15:15:03Z
dc.date.issued 2018-10-18
dc.identifier.citation Olza, I., Leahy-Warren, P., Benyamini, Y., Kazmierczak, M., Karlsdottir, S. I., Spyridou, A., Crespo-Mirasol, E., Takács, L., Hall, P. J., Murphy, M., Jonsdottir, S. S., Downe, S. and Nieuwenhuijze, M. J. (2018) 'Women’s psychological experiences of physiological childbirth: a meta-synthesis', BMJ Open, 8(10), e020347 (11 pp). doi: 10.1136/bmjopen-2017-020347 en
dc.identifier.volume 8 en
dc.identifier.startpage 1 en
dc.identifier.endpage 11 en
dc.identifier.issn 2044-6055
dc.identifier.uri http://hdl.handle.net/10468/8022
dc.identifier.doi 10.1136/bmjopen-2017-020347 en
dc.description.abstract 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. en
dc.description.sponsorship European Cooperation in Science and Technology (EU cost action1405 birth: Building intrapartum research through health (http://www.cost.eu/COST_Actions/isch/IS1405)) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ Publishing Group en
dc.relation.uri https://bmjopen.bmj.com/content/8/10/e020347
dc.rights © 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. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Long-term memories en
dc.subject Birth experience en
dc.subject Home birth en
dc.subject Labor en
dc.subject Delivery en
dc.subject Perceptions en
dc.subject Time en
dc.subject Perspectives en
dc.subject Ethnography en
dc.subject Postpartum en
dc.title Women’s psychological experiences of physiological childbirth: a meta-synthesis en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Margaret Murphy, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: mgt.murphy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2019-06-04T09:58:50Z
dc.description.version Published Version en
dc.internal.rssid 469742342
dc.internal.wokid WOS:000454739500023
dc.contributor.funder European Cooperation in Science and Technology en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMJ Open en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress mgt.murphy@ucc.ie en
dc.identifier.articleid e020347 en


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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. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. Except where otherwise noted, this item's license is described as © 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. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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