Journal List > Korean J Women Health Nurs > v.20(1) > 1089467

Lee: Women's Experiences on Spontaneous Delivery with Midwives

Abstract

Purpose

This study was to understand the meaning of women's experience of spontaneous delivery with midwives at midwifery clinics or home.

Methods

van Kaam's Psychophenomenological method composed of a four-stage, 12-step format was used. In-depth interviews were carried out from January to July, 2011, with twelve women.

Results

Through the data analysis, 403 significant statements, 172 elements, 48 subcategories, and 19 categories were extracted, and from the 19 categories, 8 themes were drawn. The eight themes were: "Conflict on whether a hospital or a midwifery clinic", "Choosing natural delivery with the assurance of her ability to delivery spontaneously and having trust in the midwives." "Being encouraged by a midwife and family members with one accord", "Experience of the spontaneous delivery process on body", "Comfortable delivery in spite of painful process", "Deeply impressed by the overwhelming joy of birth", "Satisfaction with spontaneous delivery", and "Deeper love among family members".

Conclusion

Through this study, women's delivery experiences with midwives was of spontaneous delivery. Women's birth of self-confidence and trust between the midwives and the women to predict a spontaneous delivery is a powerful factor. Also, family support and midwives delicate care was identified as factors in spontaneous delivery.

Figures and Tables

Table 1
Obstetric Characteristics of Participant (N=12)
kjwhn-20-1-i001

Vaginal birth after cesarean section; Twin vaginal delivery; §Breech vaginal delivery.

Table 2
Women's Experiences on Spontaneous Delivery with Midwives
kjwhn-20-1-i002

The numbers in parentheses is the number of participants' statement.

Notes

This article is a condensed form of the first author's doctoral thesis from Ewha womans University.

Summary Statement

▪ What is already known about this topic?
Women's delivery at midwifery clinic is more comfortable than hospital delivery.
▪ What this paper adds?
Women's delivery experience with midwives was of spontaneous delivery. Women on the birth of self-confidence and trust between midwives and women to predict a spontaneous delivery is powerful factor.
▪ Implications for practice, education and/or policy
For spontaneous delivery, it is important that trust be built between the midwives and the women.

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