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Influence on birthing positions affects women's sense of control in second stage of labour.

Abstract：

OBJECTIVE:to explore whether choices in birthing positions contributes to women's sense of control during birth. DESIGN:survey using a self-report questionnaire. Multiple regression analyses were used to investigate which factors associated with choices in birthing positions affected women's sense of control. SETTING:midwifery practices in the Netherlands. PARTICIPANTS:1030 women with a physiological pregnancy and birth from 54 midwifery practices. FINDINGS:in the total group of women (n=1030) significant predictors for sense of control were: influence on birthing positions (self or self together with others), attendance of antenatal classes, feelings towards birth in pregnancy and pain in second stage of labour. For women who preferred other than supine birthing positions (n=204) significant predictors were: influence on birthing positions (self or self together with others), feelings towards birth in pregnancy, pain in second stage of labour and having a home birth. For these women, influence on birthing positions in combination with others had a greater effect on their sense of control than having an influence on their birthing positions just by themselves. KEY CONCLUSIONS:women felt more in control during birth if they experienced an influence on birthing positions. For women preferring other than supine positions, home birth and shared decision-making had added value. IMPLICATIONS FOR PRACTICE:midwives can play an important role in supporting women in their use of different birthing positions and help them find the positions they feel most comfortable in. Thus, contributing to women's positive experience of birth.

journal_name

Midwifery

journal_title

Midwifery

authors

Nieuwenhuijze MJ,de Jonge A,Korstjens I,Budé L,Lagro-Janssen TL

doi

10.1016/j.midw.2012.12.007

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

e107-14

issue

11

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(12)00248-3

journal_volume

29

pub_type

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