Mothers’ experiences of induction of labour

Abstract

Induction of labour is one of the most commonly performed interventions in Malta, occurring in approximately 28% of labours (NOIS 2018). Research has explored methods of induction and labour outcomes associated with medical inductions. However, much less is known about women’s experiences of the induction process, especially within the local context. Thus, this study aimed to explore mothers’ lived experiences of induction of labour by looking into their understanding of the procedure and highlighting their feelings towards it. The qualitative paradigm was used to conduct this study amongst a convenience sample of eight primiparous mothers. These mothers participated in a one-time, face-to-face, individual interview 24 to 36 hours after childbirth, which was audio-recorded with the participants’ consent. Data was generated through the use of a purposely-designed, semi-structured interview schedule. Thematic analysis was used to analyse the data. The results elicited from this study indicated that women lacked sufficient information to make an informed decision and provide consent for their induction of labour. Mothers described how they tried to naturally induce labour in an attempt to avoid a medical induction. The findings of this study highlight how participating women felt that the medical induction affected their mode of birth. Sub-optimal labour experiences may significantly impact women and their families. Hence, reflecting on their experiences can serve to inform practice in terms of care delivery. This study recommends that an in-depth explanation of the induction of labour process is provided to expectant parents during the antenatal period, comprising both the benefits and the risks, so that they can exercise their right to informed consent. Furthermore, whilst Malta follows an obstetric-led model of maternity care, a woman- centred care approach based on the woman’s needs may help mothers feel more in control of their pregnancy and labour, potentially increasing their satisfaction with their birthing experience.