The Birth Plan Experience—A Pilot Qualitative Study in Southern Spain

Background: Healthcare systems advocate for quality care and humanized relations in routine birth care, and have therefore created the Birth Plan, a document available to pregnant women to state their preferences in relation to the birth process. Methods: This qualitative research with a phenomenological design was carried out to record the experiences of women who presented a Birth Plan. Sample selection was carried out using non-probabilistic, intentional and convenience sampling, selecting seven participants who were willing to participate and share their experiences. Results: After analyzing the content of the interviews, four categories emerged: “respecting the woman’s wishes: humanizing the birth process”, “information and primary Care”, “expectations regarding the care received” and “results of using the birth plan”, with their corresponding subcategories. Conclusion: Women consider it beneficial to present a Birth Plan, because it informs them about the process and gives them the opportunity to have a better experience, which takes into account their preferences for making the delivery less instrumental. In addition, they state the importance of having trained professionals involved, and call for more attention to be paid to the birth process in general.

Multitype branching process with non-homogeneous Poisson and contagious Poisson immigration

In a multitype branching process, it is assumed that immigrants arrive according to a non-homogeneous Poisson or a contagious Poisson process (both processes are formulated as a non-homogeneous birth process with an appropriate choice of transition intensities). We show that the normalized numbers of objects of the various types alive at time t for supercritical, critical, and subcritical cases jointly converge in distribution under those two different arrival processes. Furthermore, we provide some transient expectation results when there are only two types of particles.

The Integrated Neurophysiology of Emotions during Labour and Birth: a Feminist Standpoint Exploration of the Women's Perspectives of Labour Progress

<p>Within childbirth there is a common and widely known explanation of labour and birth which describes and defines the birth process as that of stages and phases. The boundaries between the stages and phases have been determined by cervical dilatation with time parameters set to measure progress. The measurement of cervical dilatation is determined by a health professional and has resulted in an apparent inability of women to determine themselves whether they are in labour and their closeness to the impending birth. The aims of this thesis were threefold; the first was to critically examine the knowledge base of labour progress, so that the influences on knowledge development were fully understood. Through exploring the historical and theoretical development I found that the current knowledge has come from a male understanding of female anatomy and observational data constructed within a discourse of male, medical, scientific superiority. The second aim of the thesis was to explore the perspectives of women who had experienced a spontaneous labour and birth in order to determine whether the discourse of labour as stages and phases resonated with them. This leads to the third aim of providing a description of the women’s voices and perspectives based on their experiential knowledge of spontaneous labour and birth. A critical feminist ontology and feminist standpoint methodology guided the research which used in-depth one-to-one interviews with 18 women who had experienced a spontaneous labour and birth. Early thematic analysis was developed further through feedback from the participants supporting a coconstruction of knowledge. Analysis revealed that women considered the stages and phases of labour to be an abstract concept which did not resonate with their experiences of labour and birth. An important aspect of labour was having support during the process, in terms of both emotional and physical support from midwives, partners, family and friends present during the labour and birth. Women’s perceptions were dominated by their feelings and a linear pattern of feelings was discerned consistently amongst the participants. The emotions of labour were an important finding in this research but during the feedback process the women requested a scientific foundation to support the findings. I therefore explored the recent advances in theoretical understanding of the role of emotion, cognition, physiology and behaviour. Contemporary theories define emotions and neurohormones as bi-directional and intricately linked to behaviour change and physiological adaptations. I argue that the feelings women have described give an indication of an underlying hormonal influence and a directing of behaviour, necessary for labour to move towards birth. The hormones involved in labour also support maternal behaviour and attachment to the baby. I suggest a new conceptual understanding of labour as the integration of the mind, body and behaviour in which the feelings and hormones that initiate and sustain labour to birth also support the necessary adaptation and transition to becoming a mother. This integrated neurophysiologic concept will help midwives and other health professionals involved in maternity to recognise emotions as a key to understanding physiological labour and birth. It has also highlighted the importance of emotional and physical support during labour. Further research is necessary to test the hypothesis that women experience a similar range of emotions at similar times during a spontaneous labour and birth and to what extent the described emotions resonate with other women’s experiences.</p>

The Integrated Neurophysiology of Emotions during Labour and Birth: a Feminist Standpoint Exploration of the Women's Perspectives of Labour Progress

<p>Within childbirth there is a common and widely known explanation of labour and birth which describes and defines the birth process as that of stages and phases. The boundaries between the stages and phases have been determined by cervical dilatation with time parameters set to measure progress. The measurement of cervical dilatation is determined by a health professional and has resulted in an apparent inability of women to determine themselves whether they are in labour and their closeness to the impending birth. The aims of this thesis were threefold; the first was to critically examine the knowledge base of labour progress, so that the influences on knowledge development were fully understood. Through exploring the historical and theoretical development I found that the current knowledge has come from a male understanding of female anatomy and observational data constructed within a discourse of male, medical, scientific superiority. The second aim of the thesis was to explore the perspectives of women who had experienced a spontaneous labour and birth in order to determine whether the discourse of labour as stages and phases resonated with them. This leads to the third aim of providing a description of the women’s voices and perspectives based on their experiential knowledge of spontaneous labour and birth. A critical feminist ontology and feminist standpoint methodology guided the research which used in-depth one-to-one interviews with 18 women who had experienced a spontaneous labour and birth. Early thematic analysis was developed further through feedback from the participants supporting a coconstruction of knowledge. Analysis revealed that women considered the stages and phases of labour to be an abstract concept which did not resonate with their experiences of labour and birth. An important aspect of labour was having support during the process, in terms of both emotional and physical support from midwives, partners, family and friends present during the labour and birth. Women’s perceptions were dominated by their feelings and a linear pattern of feelings was discerned consistently amongst the participants. The emotions of labour were an important finding in this research but during the feedback process the women requested a scientific foundation to support the findings. I therefore explored the recent advances in theoretical understanding of the role of emotion, cognition, physiology and behaviour. Contemporary theories define emotions and neurohormones as bi-directional and intricately linked to behaviour change and physiological adaptations. I argue that the feelings women have described give an indication of an underlying hormonal influence and a directing of behaviour, necessary for labour to move towards birth. The hormones involved in labour also support maternal behaviour and attachment to the baby. I suggest a new conceptual understanding of labour as the integration of the mind, body and behaviour in which the feelings and hormones that initiate and sustain labour to birth also support the necessary adaptation and transition to becoming a mother. This integrated neurophysiologic concept will help midwives and other health professionals involved in maternity to recognise emotions as a key to understanding physiological labour and birth. It has also highlighted the importance of emotional and physical support during labour. Further research is necessary to test the hypothesis that women experience a similar range of emotions at similar times during a spontaneous labour and birth and to what extent the described emotions resonate with other women’s experiences.</p>

Becoming a Homebirther, Smooth Sailing or Rocky Road? An Exploration of Pakeha Women's Experience on the Path to Homebirth

<p>This study explores the experiences of primiparous women on the path to planning the homebirth of their first child. There are many challenges along the way and although there are many supports, society does not generally view homebirth as a safe option. This study highlights the themes emerging about the relative ease or disease of the journey. Was the experience smooth sailing on an undulating ocean or a testing trek along a rocky road? There is a vast body of evidence about homebirth, with much of the quantitative literature being outcome focussed and most of the qualitative literature exploring women's experience of the homebirth-day. Birthing at home has been linked with increased maternal satisfaction compared with other birth venues and correlates with a feeling of maintaining power and control during the birth process. Homebirth has also been shown to have similar rates of intrapartum and neonatal mortality, as well as lower maternal intervention rates, in low risk populations. This study principally investigates the experience of Pakeha New Zealand women on their way to planning a homebirth for their first baby. The findings of this narrative inquiry include that women make the journey to becoming a homebirther both before pregnancy and during pregnancy, and that they need good support and information. Hearing positive homebirth stories, having a midwife who professes a preference for homebirth, and having access to homebirth resources play integral roles in becoming a homebirther.</p>

Becoming a Homebirther, Smooth Sailing or Rocky Road? An Exploration of Pakeha Women's Experience on the Path to Homebirth

<p>This study explores the experiences of primiparous women on the path to planning the homebirth of their first child. There are many challenges along the way and although there are many supports, society does not generally view homebirth as a safe option. This study highlights the themes emerging about the relative ease or disease of the journey. Was the experience smooth sailing on an undulating ocean or a testing trek along a rocky road? There is a vast body of evidence about homebirth, with much of the quantitative literature being outcome focussed and most of the qualitative literature exploring women's experience of the homebirth-day. Birthing at home has been linked with increased maternal satisfaction compared with other birth venues and correlates with a feeling of maintaining power and control during the birth process. Homebirth has also been shown to have similar rates of intrapartum and neonatal mortality, as well as lower maternal intervention rates, in low risk populations. This study principally investigates the experience of Pakeha New Zealand women on their way to planning a homebirth for their first baby. The findings of this narrative inquiry include that women make the journey to becoming a homebirther both before pregnancy and during pregnancy, and that they need good support and information. Hearing positive homebirth stories, having a midwife who professes a preference for homebirth, and having access to homebirth resources play integral roles in becoming a homebirther.</p>

The Effect of Exercise on Anxiety Levels of Pregnant and Non-Pregnant Women

Background: Evidence that the birth process of physically active women go through more easily than inactive women goes back to ancient times. As a result, women's orientation to physical activity during pregnancy indicates that they will have a very beneficial and comfortable period both before and after pregnancy. Aim: The aim of this study was to examine the effect of exercise on the anxiety levels of pregnant and non-pregnant women in terms of various variables. Methods: Pregnant Information Form and Cambridge Anxiety Scale created by the researchers were used as data collection tools in the study. Data collection tools were applied by the researcher using face to face interview method. In the analysis of the data obtained in the study, percentage and frequency descriptive statistical methods to determine the distribution of the personal information of the participants, T-test, One Way Anova Test First of all, Kaiser-Mayer-Olkin (KMO) and Bartlett tests were used to measure the conformity of the expressions to the factor analysis, reliability and validity of the anxiety scale used. After it was determined that the validity condition was met, the mean and standard deviation values for the scale expressions were calculated. Conclusion: According to the findings, the anxiety levels of the participants; According to the results of the analysis on whether there is a significant difference according to their age, average age, education level, income status, number of children, current health status, frequency of doing sports, type of sport, motivating factors for sports, anxiety levels for themselves during the pandemic process, during the pandemic process. It has been determined that there is a significant difference according to their anxiety levels for their babies, their pregnancy status and their relationship with sports. Result: It was determined that the level of anxiety did not differ according to the number of pregnancies, the number of miscarriages, the duration of pregnancy and social security status. Keywords: Pregnancy, Exercise, Anxiety.

The Effect of the Birthing Ball on Duration of the First Stage of Labour in Primigravida at Utama Barokah Clinic, Bandung City in 2021

Background: Labour and birth are physiological and normal events. The process is considered to be normal if it takes 37-42 weeks without any complications. Non-pharmacological methods to speed up the progress of labour include birthing ball exercises. The Birthing ball exercise is a technique to help the progress of labour that can be used during the first stage of labour. Until now, birthing balls are not widely known and not common, even though birthing balls are very effective in accelerating the birth process. The advantage of using the birthing ball is that it increases blood flow to the uterus, placenta and baby, and provides comfort for the knees and ankles. Purposes: The purpose of this study was to determine the average length of the first stage of labour in primigravida using a birthing ball and those not using a birthing ball and the effect of the birthing ball on the duration of the first stage of labour in primigravida. Method: This study uses a quasi-experimental method with a Randomized Two-Group design, Post-test only. This study was held at Utama Barokah Clinic, Bandung from June to July 2021. Result: The research sample was 30 respondents, primigravida during the first stage of labour with data analysis using the Mann Whitney test, and the p value <0.05 was obtained. Conclusion: There was a difference in the average length of the first stage of labour in primigravida using a birthing ball and those not using a birthing ball.