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Control in childbirth: a concept analysis and synthesis.
1University of Colorado College of Nursing, Denver, Colorado, USA. shaunette.meyer@ucdenver.edu
Journal of Advanced Nursing
|June 8, 2012
Summary
This study clarifies the concept of control during childbirth, identifying key attributes like decision-making and personal security. Understanding control enhances childbirth satisfaction and maternal well-being.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Concept Analysis
Background:
- The concept of control in childbirth is complex and context-dependent.
- It relates to a woman's autonomy over her body, labor, pain management, environment, and birth method.
- Existing definitions vary across disciplines.
Purpose of the Study:
- To perform a concept analysis of control in the context of childbirth.
- To clarify the definition and attributes of control during childbirth.
- To inform women and maternity providers globally.
Main Methods:
- Systematic literature search of Medline, CINAHL, and PsycINFO databases (1970-2011).
- Keywords used: 'control', 'childbirth', 'labour', 'delivery'.
- Application of Walker and Avant's concept analysis method, incorporating Risjord's recommendations for case analysis.
Main Results:
- Four key attributes of control in childbirth were identified: decision-making, access to information, personal security, and physical functioning.
- Antecedents include pregnancy and birth expectations; consequences encompass childbirth satisfaction, emotional well-being, and the transition to motherhood.
- Illustrative cases (model, contrary, borderline) were analyzed.
Conclusions:
- A clearer definition and identified attributes of control in childbirth enhance understanding for women and providers.
- This analysis clarifies a previously ambiguous concept, highlighting the link between control and childbirth satisfaction.
- Improved understanding of control may positively impact perinatal outcomes and reduce healthcare costs.
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