Pregnant women's views about choice of intrapartum monitoring of the fetal heart rate

a questionnaire survey

Carol Hindley, Sophie Hinsliff, Ann M Thomson

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aim
To investigate the degree of choice pregnant women at low obstetric risk had in making informed decisions on the use of intrapartum fetal monitoring techniques.

Methods
An exploratory descriptive design was used as part of a larger, multi-method study. A total of 63 pregnant women at low obstetric risk were approached to complete antepartum and postpartum questionnaires. Sixty-three women completed antepartum questionnaires, 38 of these 63 women also completed postpartum questionnaires. The data were analyzed using descriptive statistics.

Results
More than half of the sample wanted electronic fetal monitoring (EFM) in labor despite being classified at low risk for obstetric complications. Having choices and being in control was important to all respondents whilst in labor. Despite this, almost all respondents stated that midwives had not given them a choice of monitoring method. More than a half of the sample received some form of EFM.

Conclusions
Intrapartum fetal monitoring practices for women with normal pregnancies do not reflect current evidence. Women still expect EFM in labor. Choice and control are very complex issues and as such are difficult to measure.
Original languageEnglish
Pages (from-to)224-231
Number of pages8
JournalInternational Journal of Nursing Studies
Volume45
Issue number2
DOIs
Publication statusPublished - Feb 2008
Externally publishedYes

Fingerprint

Fetal Heart Rate
Pregnant Women
Cardiotocography
Obstetrics
Fetal Monitoring
Postpartum Period
Midwifery
Decision Making
Surveys and Questionnaires
Pregnancy

Cite this

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title = "Pregnant women's views about choice of intrapartum monitoring of the fetal heart rate: a questionnaire survey",
abstract = "AimTo investigate the degree of choice pregnant women at low obstetric risk had in making informed decisions on the use of intrapartum fetal monitoring techniques.MethodsAn exploratory descriptive design was used as part of a larger, multi-method study. A total of 63 pregnant women at low obstetric risk were approached to complete antepartum and postpartum questionnaires. Sixty-three women completed antepartum questionnaires, 38 of these 63 women also completed postpartum questionnaires. The data were analyzed using descriptive statistics.ResultsMore than half of the sample wanted electronic fetal monitoring (EFM) in labor despite being classified at low risk for obstetric complications. Having choices and being in control was important to all respondents whilst in labor. Despite this, almost all respondents stated that midwives had not given them a choice of monitoring method. More than a half of the sample received some form of EFM.ConclusionsIntrapartum fetal monitoring practices for women with normal pregnancies do not reflect current evidence. Women still expect EFM in labor. Choice and control are very complex issues and as such are difficult to measure.",
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Pregnant women's views about choice of intrapartum monitoring of the fetal heart rate : a questionnaire survey. / Hindley, Carol; Hinsliff, Sophie; Thomson, Ann M.

In: International Journal of Nursing Studies, Vol. 45, No. 2, 02.2008, p. 224-231.

Research output: Contribution to journalArticle

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T2 - a questionnaire survey

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AU - Hinsliff, Sophie

AU - Thomson, Ann M

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AB - AimTo investigate the degree of choice pregnant women at low obstetric risk had in making informed decisions on the use of intrapartum fetal monitoring techniques.MethodsAn exploratory descriptive design was used as part of a larger, multi-method study. A total of 63 pregnant women at low obstetric risk were approached to complete antepartum and postpartum questionnaires. Sixty-three women completed antepartum questionnaires, 38 of these 63 women also completed postpartum questionnaires. The data were analyzed using descriptive statistics.ResultsMore than half of the sample wanted electronic fetal monitoring (EFM) in labor despite being classified at low risk for obstetric complications. Having choices and being in control was important to all respondents whilst in labor. Despite this, almost all respondents stated that midwives had not given them a choice of monitoring method. More than a half of the sample received some form of EFM.ConclusionsIntrapartum fetal monitoring practices for women with normal pregnancies do not reflect current evidence. Women still expect EFM in labor. Choice and control are very complex issues and as such are difficult to measure.

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