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Updated: Jun 3, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Exploring childbirth experiences through a Salutogenic lens
Dr Giliane McKelvin1, Prof Soo Downe2, Prof Gillian Thomson2
1Department of Nursing and Midwifery, Edge Hill University, St Helens Road, Ormskirk L39 4QP, UK.
Women's childbirth experiences exist on a continuum, influenced by birth narratives and midwifery care. Understanding these factors helps define positive, neutral, and traumatic birth experiences.
Area of Science:
- Sociology of Health
- Maternal Health
- Qualitative Research
Background:
- Childbirth is often viewed through a pathological lens.
- Sociological theories emphasize health as a continuum (salutogenesis).
- Understanding women's childbirth experiences requires exploring them on a continuum.
Purpose of the Study:
- To describe the continuum of women's childbirth experiences (positive, neutral, traumatic).
- To explore factors influencing these experiences.
- To report on 'neutral' childbirth experiences for the first time.
Main Methods:
- Mixed-methods explanatory sequential design.
- In-depth semi-structured interviews with primiparous women 12 weeks postnatal.
- Thematic analysis of qualitative data from ten interviews.
Main Results:
- Three themes emerged: 'before it all started', 'arriving at the destination', and 'the days that followed'.
- Factors influencing experiences included pre-birth narratives and quality of midwifery support.
- Women's subjective appraisals of childbirth varied significantly, falling on a continuum.
Conclusions:
- Women's childbirth experiences are subjective and exist on a continuum.
- Birth narratives and midwifery care quality significantly influence these experiences.
- This study provides novel insights into 'neutral' childbirth experiences.
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