Motivations for and experience with labor induction at 39 weeks in women with obesity-A qualitative study.

IF 3.5 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Joan Hansen, Lise Qvirin Krogh, Jens Fuglsang, Sidsel Boie, Tine Brink Henriksen, Katja Albert Taastrøm, Anne Cathrine Maqving Kjeldsen, Julie Glavind, Stina Lou
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引用次数: 0

Abstract

Introduction: Timing of induction of labor (IOL) at term has been investigated in multiple settings. In Denmark, the 'When to INDuce for OverWeight' (WINDOW) study compares IOL at 39 weeks of gestation versus expectant management in low-risk women with obesity. However, knowledge on women's expectations of and experience with IOL is sparse. The aim of this study was to explore women's motivation to join the WINDOW study and their experience when randomized to IOL at 39 gestational weeks.

Material and methods: A qualitative interview study of 25 pregnant women with obesity randomized in the WINDOW study to IOL at 39 weeks of gestation was conducted. Participants were recruited from four hospitals in Central Denmark Region and were interviewed four to six weeks after giving birth. A thematic analysis was performed using a phenomenological approach.

Results: The analysis resulted in three main themes, (1) Motivation for IOL, (2) The IOL process, and (3) IOL in recollection and in the future. Participants perceived inclusion into the WINDOW study as a "great opportunity," as they hoped to be randomized to IOL at 39 weeks of gestation. Their main motivation for participating was physical discomfort in late pregnancy and a wish for "knowing" the timing of the birth. BMI-related risk factors were mentioned by few as a motivating factor. Some participants described the IOL process as a team effort between the couple and the midwives and were positive towards future IOL. Others associated the IOL process with prolonged labor or described the body as "reluctant" to respond to the induction regime. A desire to experience spontaneous onset of labor in a future pregnancy was mentioned.

Conclusions: Physical discomfort and wanting to "control" the onset of labor were main motivations for women's decision to participate in the WINDOW study, hoping they would be allocated for IOL. Comprehensive information and being supported by midwives through the IOL process was crucial for a positive IOL experience. Some participants were positive towards a future IOL. Others speculated if their body was not ready for birth in 39 weeks of gestation and/or associated the IOL process with a challenging labor.

肥胖妇女 39 周引产的动机和经验--定性研究。
引言:对临产时引产(IOL)的时机进行了多种研究。在丹麦,"体重超标何时引产"(WINDOW)研究对妊娠 39 周时引产与低风险肥胖症妇女的预产期管理进行了比较。然而,有关妇女对人工晶体植入术的期望和经验的知识却很少。本研究旨在探讨妇女参加 WINDOW 研究的动机,以及她们在妊娠 39 周随机接受人工晶体植入术的经历:对 25 名肥胖症孕妇进行了定性访谈研究,她们在 WINDOW 研究中被随机安排在妊娠 39 周时接受人工晶体植入术。参与者来自丹麦中部大区的四家医院,在产后四到六周接受访谈。采用现象学方法进行了主题分析:分析得出三大主题:(1) IOL 的动机;(2) IOL 的过程;(3) IOL 的回忆和未来。参与者认为加入 WINDOW 研究是一个 "很好的机会",因为他们希望在妊娠 39 周时随机接受人工晶体植入术。她们参与研究的主要动机是孕晚期身体不适以及希望 "知道 "分娩时间。很少有人提到与 BMI 相关的风险因素是一个动机因素。一些参与者将人工流产过程描述为夫妇与助产士之间的团队合作,并对未来的人工流产持积极态度。其他人则将 IOL 过程与延长产程联系在一起,或将身体描述为 "不愿 "对引产制度做出反应。还有人提到希望将来怀孕时能经历自然分娩:身体不适和希望 "控制 "分娩的开始是妇女决定参加 WINDOW 研究并希望分配到 IOL 的主要动机。全面的信息和助产士在整个 IOL 过程中的支持对于获得积极的 IOL 体验至关重要。一些参与者对未来的人工晶体植入持积极态度。其他人则猜测自己的身体是否还没有准备好在妊娠 39 周时分娩,以及/或将 IOL 过程与具有挑战性的分娩联系起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.00
自引率
4.70%
发文量
180
审稿时长
3-6 weeks
期刊介绍: Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical, basic and translational research work related to all aspects of women’s health from around the globe. The journal regularly publishes commentaries, reviews, and original articles on a wide variety of topics including: gynecology, pregnancy, birth, female urology, gynecologic oncology, fertility and reproductive biology.
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