Childbirth expectations and coping strategies of first-time mothers attending a comprehensive health centre in Ekiti State, Nigeria

Oluwaseyi A. Akpor, Elizabeth B. Odewade, Elizabeth F. Ojo, Tolulope F. Ojo, Ibukun O. Ojo

Abstract

Childbirth is a complex life event for every woman. Women will have positive experiences if their expectations are met during childbirth, unmet expectations can result in negative experience. This study assessed the knowledge, expectations and coping strategies used by first time mothers attending a Comprehensive Health Center in Ekiti State. The study adopted a qualitative research design and twenty individual semi-structured interviews were conducted. Purposive sampling technique was used and the sample size was determined by saturation of data. Interviews were analyzed using qualitative thematic content analysis. Findings revealed limited knowledge about labour as majority of the participants had no knowledge of labour signs and process. Also, almost all the women were not familiar with the various methods for relief from discomfort during labour and first-time mothers expect midwives to care for them throughout the labour process. This study emphasized the need for healthcare professionals to provide suitable comprehensive education on the process and signs of labor as well as the various methods of pain relief. Supportive networks should also be provided for women during prenatal clinics. Also, health care professionals should consider the needs of mothers and try as much as possible to provide holistic support.

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References

Mengmei Y, Meizhen Z, Tieying Z, Meiliyang W, Ye C, Ke Z and AiQing T. Childbirth Readiness Scale (CRS): instrument development and psychometric properties. BMC Pregnancy Childbirth. 2022; 22, 257. https://doi.org/10.1186/s12884-022-04574-6

Khaled M, Corner GW, Horton K, Khoddam H, Stoycos S and Saxbe DE. Prenatal relationship conflict behavior predicts childbirth experiences and birth outcomes. Journal of Family Psychology. 2020 Sep;34(6):759.

Camacho- Morell F and Esparcia J. Influence and use of information sources about childbearing among Spanish pregnant women. Women and Birth. 2019;33(4):367-376.

Morell F and Martin J. Childbirth expectations of La Ribera Pregnant women: A qualitative approach, Enfermena Global. 2018; 337.

Kamonthip T. Childbirth expectations and childbirth experiences among Thai pregnant women. Scholar Archive. 2012; 535.

Iravani M, Zarean E, Janghorbani M and Bahrami M. Women’s needs and expectations during normal delivery. J. Edu Health Promotion. 2015; 4(6).

Samah N, Manseur S and Hassan N. Factors associated with fear of childbirth, its effect on womens’ preference for caesarean section. Journal of Nursing Education and Practice. 2017; (7) 1.

Martin D, Bulmer S and Pettker C. Childbirth expectations and sources of information Among Low and Moderate Income Nulliparous Pregnant Women. Journal Perinatal Education. 2013; (22) 103-112.

Jeschike E, Ostermann T, Dippong N, Brauer D and Matthes H. Psychometric properties of the Confidence and Trust in Delivery Questionnaire. BMC Women’s Health. 2012; 12: 26.

Goberna-Tricas J, Banús-Giménez M, Palacio-Tauste A and-Sancho S. Satisfaction with pregnancy and birth services: the quality of maternity care services as experienced by women. Midwifery. 2011; 27(6): 1-7.

WHO. Maternal mortality: Levels and trends 2000 to 2017. [EB/OL]. (2019–09–19) [2021–04–19]. https://www.who.int/publications/i/item/9789241516488.

Pinheiro J, Gimenez B, Palacio A and Lineres S. Satisfaction with pregnant and birth services. The quality of maternity care services as experienced by women. Midwifery. 2011;26: 231-237.

Khavari F, Golmakani N, Saki A and AghamohammadianSerbaf HR. Prenatal Coping Strategies Based on the Irrational Beliefs in Pregnant Woman. Journal of Midwifery and Reproductive Health. 2018; 6(2): 1215-1222. DOI: 10.22038/JMRH.2017.9921

Barrelli S, Walsh D and Spiby H. First-time mothers’ expectations of the unknown territory of childbirth: Uncertainties, coping strategies and ‘going with the flow’. ResearchGate, 2018; 63, 39-45.

Afshar Y, Mei JY, Gregory KD, Kilpatrick SJ and Esakoff TF. Birth plans—Impact on mode of delivery, obstetrical interventions, and birth experience satisfaction: A prospective cohort study. Birth Issues in Perinatal Care. 2017; 45(1): 43-49.

Carlsson I. Being in a safe and thus secure place, the core of early labour: A secondary analysis in a Swedish context. International Journal of Qualitative Studies on Health and Well-being. 2016; 11: 1-8.

Kish AJ. The development of maternal confidence for labour among nulliparous pregnant women. 2003.

Polit DF and Beck CT. Nursing research: generating and assessing evidence for nursing practice (Tenth edition. ed.): Philadelphia: Wolters Kluwer Health 2016.

Lincoln YS and Guba EG. Naturalistic Inquiry. California: Sage 1985.

Bernard HR. Research methods in anthropology: qualitative and quantitative approaches. Walnut Creek: AltaMira Press; 1994.

Ibach F1, Dyer RA, Fawcus S and Dyer SJ. Knowledge and expectations of labour among primigravid women in the public health sector. South African Medical Journal. 2007;97(6):461-4.

Whitburn LY, Jones E, Davey M and Small R. Women's experiences of labour pain and the role of the mind: an exploratory study. Midwifery. 2014; 30(9):1029-35.

Bowers BB. Mothers’ Experiences of Labour Support: Exploration of Qualitative Research. JOGNN Clinical Issues. 2002;31(6), 746-750.

Loke AY, Davies L and Li S. Factors influencing the decision that women make on their mode of delivery: the Health Belief Model. BMC Health Serv Res. 2015; 20(15):274.

University of York. "Emergency caesareans put new mothers at higher risk of developing postnatal depression." ScienceDaily. 23 January 2019.

Boyce PM and Todd AL. Increased risk of postnatal depression after emergency caesarean section. The Medical Journal of Australia. 2010; 157(3): 172-174.

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