Women's Experiences of Induction of Labor and Birth After Prolonged Medical Induction: A Qualitative Study From Denmark.

Abstract

Background: The increasing frequency of induction of labor (IOL) prompts explorations into women's experiences. To inform individualized obstetric care, this study aimed to investigate the experiences of Danish pregnant women who underwent out-patient medical IOL and were not in active labor 48 h after IOL initiation.

Methods: A qualitative interview study with 28 women who had experienced prolonged IOL (all indications). The women were recruited at two obstetric departments approximately 48 h after IOL initiation and telephone interviewed 2-6 weeks after birth (average of 37 min duration). Interviews were recorded, transcribed, and analyzed using thematic analysis.

Results: The first theme describes the underlying rationale in the women's description of IOL and birth: 'Motivated by the birth of a healthy baby.' The results show how the women accepted medical indications for IOL, found comfort in the out-patient regimen, and felt secure about the health of their baby, even if the prolonged IOL was frustrating. The results show how 'progress' became a primary motivator for suggesting and accepting interventions. The second theme describes four 'Situations of discouragement' that are clusters of events during IOL and birth that could challenge the women's expectations and boundaries, for example, experiencing excessive pain or not feeling heard. Despite challenges, most women viewed their experiences positively, remaining open to future IOL.

Discussion: The findings underscore the complexity of women's experiences during IOL and birth, emphasizing the need for healthcare professionals to navigate diverse, individual preferences while prioritizing maternal and fetal well-being.