Giving birth : expectations of first time mothers in Switzerland at the mid point of pregnancy

Fleming, Valerie (Liverpool John Moore’s University, Liverpool, UK) ; Meyer, Yvonne (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Frank, Franziska (University of Arizona, USA) ; Van Gogh, Susanne (Zurich University of Applied Sciences, Switzerland) ; Schirinzi, Laura (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Michoud, Bénédicte (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; De Labrusse, Claire (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland)

Problem and background: Despite a generally affluent society, the caesarean section rate in Switzerland has steadily climbed in recent years from 22.9% in 1998 to 33.7% in 2014. Speculation by the media has prompted political questions as to the reasons. However, there is no clear evidence as to why the Swiss rate should be so high especially in comparison with neighbouring countries. Aim: To describe the emerging expectations of giving birth of healthy primigravid women in the early second semester of pregnancy in four Swiss cantons. Methods: Qualitative individual interviews with 58 healthy primigravid women, were audio recorded, transcribed and subjected to thematic analysis. Recruitment took place through public and private hospitals, birth centres, obstetricians and independent midwives. The main ethical issues were informed consent, autonomy, confidentiality and anonymity. Findings: The three main themes identified were taking or avoiding decisions, experiencing a continuum of emotions and planning the care. Discussion Being pregnant was part of a project women had mapped out for their lives. Only three women in our sample expressed a wish for a caesarean section. One of the strongest emotions was that of fear but in contrast some participants expressed faith that their bodies would cope with the experience. Conclusion: Bringing together the three languages and cultures produced a truly “Swiss” study showing contrasts between a matter of fact approach to pregnancy and the concept of fear. Such a contrast is worthy of further and deeper exploration by a multi-disciplinary research team.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Sage-femme
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Date:
2017-04
Pagination:
7 p.
Published in:
Women and birth
Numeration (vol. no.):
December 2017, vol. 30, no. 6, pp. 443-449
DOI:
ISSN:
1871-5192
Appears in Collection:

Note: The status of this file is: restricted


 Record created 2021-05-27, last modified 2021-05-28

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