Health care professionals’ perspectives and experiences of low-risk outpatient and inpatient labour induction: A qualitative interview study within the Swedish OPTION trial

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-25 DOI:10.1016/j.midw.2025.104462

Emma Dahlberg , Anja Blix , Verena Sengpiel , Helen Elden

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引用次数: 0

Abstract

Problem

Labour induction rates are rising globally, with 25 % of all births induced today. Research on professionals’ perspectives is limited. Few qualitative studies have been conducted, and none in the Nordic countries.

Background

Some countries offer low-risk outpatient induction, allowing women without monitoring needs to await contractions at home.

Aim

To describe Swedish health care professionals’ perspectives and experiences of low-risk outpatient and inpatient induction.

Methods

A qualitative interview study was conducted at five hospitals participating in the randomised controlled OutPatient InducTION (OPTION) trial (EU CT No.: 2023–507,164–39–00). Focus group discussions or individual interviews were held with 20 health care professionals (midwives, obstetricians and auxiliary nurses) and analysed using qualitative content analysis.

Findings

Four generic categories were identified: The woman is more central; The birth companion has a natural role; Strategies are needed to maintain safe care; and Health care resources are used more effectively. Professionals viewed low-risk outpatient induction as a beneficial option for many women. They highlighted advantages for women, companions, health care professionals and their work environment, and resource allocation, but emphasised the importance of ensuring safe care.

Discussion

Professionals’ experiences support previous research on women’s experiences of outpatient labour induction. The structured implementation of the OPTION trial, including guidelines, training and communication strategies, facilitated integration.

Conclusion

While underscoring the need for robust safety protocols, according to our findings professionals find that low-risk outpatient induction can improve care, by offering benefits for women, their companions, and the health care system, and contributing to an improved work environment.

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卫生保健专业人员对低风险门诊和住院引产的看法和经验：瑞典OPTION试验中的定性访谈研究

引产率在全球范围内正在上升，目前所有分娩中有25%是引产。对专业人士视角的研究是有限的。进行的定性研究很少，在北欧国家也没有。一些国家提供低风险门诊引产，允许妇女在没有监测的情况下在家等待宫缩。目的描述瑞典卫生保健专业人员对低风险门诊和住院诱导的看法和经验。方法对参与随机对照门诊诱导（OPTION）试验的5家医院进行定性访谈研究。: 2023 - 507164 - 39 - 00)。与20名保健专业人员（助产士、产科医生和辅助护士）进行焦点小组讨论或个别访谈，并使用定性内容分析进行分析。研究结果确定了四个基本类别：女性更重要；产伴有天然的作用；需要制定战略来维持安全护理；卫生保健资源得到更有效的利用。专业人士认为低风险门诊诱导是许多妇女的有益选择。他们强调了妇女、伴侣、卫生保健专业人员及其工作环境和资源分配的优势，但强调了确保安全护理的重要性。讨论：专业人员的经验支持先前关于妇女门诊引产经验的研究。选择性方案试验的结构化实施，包括指导方针、培训和沟通战略，促进了一体化。结论：虽然强调需要强有力的安全协议，但根据我们的研究结果，专业人员发现，低风险门诊诱导可以改善护理，为妇女、她们的同伴和医疗保健系统提供好处，并有助于改善工作环境。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.