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Women's autonomy for managing labour pain in a relational context: An interpretive description study
Angelita Jose Henrique1, Patricia Rodney1, Wendy Hall1,2
1University of British Columbia School of Nursing, Vancouver, British Columbia, Canada.
Journal of Clinical Nursing
|June 5, 2023
Summary
Women
Area of Science:
- Reproductive Health
- Maternal Care
- Pain Management
Background:
- Childbirth pain is frequently reported as challenging.
- Situational factors can impede women's decision-making in pain management.
- Understanding women's autonomy in childbirth pain decisions is crucial.
Purpose of the Study:
- To explore women's perceptions of relational autonomy during childbirth pain decision-making.
- To identify factors influencing women's autonomy in managing childbirth pain.
Main Methods:
- Interpretative description approach.
- Semi-structured interviews with ten women experiencing childbirth pain.
- Data collected between July 2019 and November 2020.
Main Results:
- Women's expectations and relationships influenced their engagement in relational autonomy.
- Care provider practices, communication, and differing pain perceptions affected women's decision-making and trust.
- Feeling dependent reduced women's participation in decisions.
Conclusions:
- Relationships and communication with care providers are key to women's relational autonomy in childbirth pain management.
- Recognizing women's expectations and subjective pain experiences is vital for supporting their autonomy.
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