Karin Ängeby1, Bodil Wilde-Larsson2, Ingegerd Hildingsson3, Ann-Kristin Sandin-Bojö4. 1. Women's Department, Central Hospital, Karlstad, Sweden; Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden. Electronic address: karin.angeby@liv.se. 2. Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Faculty of Public Health, Department of Nursing and Mental Health, Hedmark University College, Elverum, Norway. 3. Mid Sweden University, Sundsvall, Sweden; Uppsala University, Uppsala, Sweden; Karoliniska Institutet, Stockholm, Sweden. 4. Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; School of Health Sciences, University of Borås, Borås, Sweden.
Abstract
OBJECTIVE: To investigate primiparous women's preferences for care during a prolonged latent phase of labour. METHODS: A qualitative study based on focus groups and individual interviews and analysed with inductive content analysis. RESULTS: Sixteen primiparous women with a prolonged latent phase of labour >18 hours were interviewed in five focus groups (n = 11) or individually (n = 5). One main category emerged "Beyond normality - a need of individual adapted guidance in order to understand and manage an extended latent phase of labour" which covers the women's preferences during the prolonged latent phase. Five categories were generated from the data: "A welcoming manner and not being rejected", "Individually adapted care", "Important information which prepares for reality and coping", "Participation and need for feedback" and "Staying nearby the labour ward or being admitted for midwifery support". Women with a prolonged latent phase of labour sought to use their own resources, but their needs for professional support increased as time passed. A welcoming attitude from an available midwife during the latent phase created a feeling of security, and personally adapted care was perceived positively. CONCLUSIONS: Women with a prolonged latent phase of labour preferred woman-centred care. Midwives play an important role in supporting these women. Women's need for midwifery-support increases as the time spent in latent phase increases.
OBJECTIVE: To investigate primiparous women's preferences for care during a prolonged latent phase of labour. METHODS: A qualitative study based on focus groups and individual interviews and analysed with inductive content analysis. RESULTS: Sixteen primiparous women with a prolonged latent phase of labour >18 hours were interviewed in five focus groups (n = 11) or individually (n = 5). One main category emerged "Beyond normality - a need of individual adapted guidance in order to understand and manage an extended latent phase of labour" which covers the women's preferences during the prolonged latent phase. Five categories were generated from the data: "A welcoming manner and not being rejected", "Individually adapted care", "Important information which prepares for reality and coping", "Participation and need for feedback" and "Staying nearby the labour ward or being admitted for midwifery support". Women with a prolonged latent phase of labour sought to use their own resources, but their needs for professional support increased as time passed. A welcoming attitude from an available midwife during the latent phase created a feeling of security, and personally adapted care was perceived positively. CONCLUSIONS:Women with a prolonged latent phase of labour preferred woman-centred care. Midwives play an important role in supporting these women. Women's need for midwifery-support increases as the time spent in latent phase increases.