Women’s experiences and views of outpatient and inpatient induction of labor with oral misoprostol: A secondary qualitative study
Introduction As labor induction rates continue to increase, so has the interest in performing induction in an outpatient setting for pregnancies defined as low-risk. Twenty women participated in the pilot study of a Randomized Controlled Trial (RCT) comparing inpatient and outpatient labor induction...
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| Format: | Article |
| Language: | English |
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European Publishing
2023-11-01
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| Series: | European Journal of Midwifery |
| Subjects: | |
| Online Access: | https://www.europeanjournalofmidwifery.eu/Women-s-experiences-and-views-of-outpatient-and-ninpatient-induction-of-labor-with,172651,0,2.html |
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| author | Hanne A. Hægeland Marianne G. Moi Fride E. Austad Hanna Oommen Janne Rossen Mirjam Lukasse |
| author_facet | Hanne A. Hægeland Marianne G. Moi Fride E. Austad Hanna Oommen Janne Rossen Mirjam Lukasse |
| author_sort | Hanne A. Hægeland |
| collection | DOAJ |
| description | Introduction
As labor induction rates continue to increase, so has the interest in
performing induction in an outpatient setting for pregnancies defined as low-risk. Twenty
women participated in the pilot study of a Randomized Controlled Trial (RCT) comparing
inpatient and outpatient labor induction with oral misoprostol. This study aimed to explore
women’s experiences of outpatient induction of labor and their views on this as an
alternative method to inpatient labor induction.
Methods
Semi-structured interviews were conducted, from November 2021 to January
2022 with eight women randomized to outpatient induction and four women randomized
to inpatient induction. Verbatim transcribed interviews were analyzed using Graneheim
and Lundman’s content analysis.
Results
Three main categories emerged: the required framework around outpatient labor
induction, what felt better at home and what felt safer at the hospital. To feel secure at
home, women needed sufficient information, close follow-up while at home, and an easyto-
administer induction method. Outpatient labor induction gave women the opportunity
of constant support from the partner and increased freedom of movement and selfexpression.
Some expressed relief over being randomized to inpatient labor induction,
because of easy access to health providers, fetal monitoring, and not risking giving birth
before arrival to the hospital. Women stressed the importance of being given a choice.
Conclusions
Outpatient labor induction contributed to a positive birth experience
and should be considered as an alternative for women with low-risk pregnancies. Shared
decision-making, including the opportunity for women to change their mind, is essential
as induction and early labor affects women’s whole childbirth experience. |
| first_indexed | 2024-03-08T13:14:34Z |
| format | Article |
| id | doaj.art-9f01affa344741c6a5cfeca1c9c35094 |
| institution | Directory Open Access Journal |
| issn | 2585-2906 |
| language | English |
| last_indexed | 2024-03-08T13:14:34Z |
| publishDate | 2023-11-01 |
| publisher | European Publishing |
| record_format | Article |
| series | European Journal of Midwifery |
| spelling | doaj.art-9f01affa344741c6a5cfeca1c9c350942024-01-18T10:28:13ZengEuropean PublishingEuropean Journal of Midwifery2585-29062023-11-017November1810.18332/ejm/172651172651Women’s experiences and views of outpatient and inpatient induction of labor with oral misoprostol: A secondary qualitative studyHanne A. Hægeland0Marianne G. Moi1Fride E. Austad2Hanna Oommen3Janne Rossen4Mirjam Lukasse5https://orcid.org/0000-0002-9873-4023Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Campus Vestfold, NorwayDepartment of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Campus Vestfold, NorwayDepartment of Obstetrics and Gynecology, Sørlandet Hospital HF, Kristiansand, NorwayDepartment of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Campus Vestfold, NorwayDepartment of Obstetrics and Gynecology, Sørlandet Hospital HF, Kristiansand, NorwayDepartment of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Campus Vestfold, NorwayIntroduction As labor induction rates continue to increase, so has the interest in performing induction in an outpatient setting for pregnancies defined as low-risk. Twenty women participated in the pilot study of a Randomized Controlled Trial (RCT) comparing inpatient and outpatient labor induction with oral misoprostol. This study aimed to explore women’s experiences of outpatient induction of labor and their views on this as an alternative method to inpatient labor induction. Methods Semi-structured interviews were conducted, from November 2021 to January 2022 with eight women randomized to outpatient induction and four women randomized to inpatient induction. Verbatim transcribed interviews were analyzed using Graneheim and Lundman’s content analysis. Results Three main categories emerged: the required framework around outpatient labor induction, what felt better at home and what felt safer at the hospital. To feel secure at home, women needed sufficient information, close follow-up while at home, and an easyto- administer induction method. Outpatient labor induction gave women the opportunity of constant support from the partner and increased freedom of movement and selfexpression. Some expressed relief over being randomized to inpatient labor induction, because of easy access to health providers, fetal monitoring, and not risking giving birth before arrival to the hospital. Women stressed the importance of being given a choice. Conclusions Outpatient labor induction contributed to a positive birth experience and should be considered as an alternative for women with low-risk pregnancies. Shared decision-making, including the opportunity for women to change their mind, is essential as induction and early labor affects women’s whole childbirth experience.https://www.europeanjournalofmidwifery.eu/Women-s-experiences-and-views-of-outpatient-and-ninpatient-induction-of-labor-with,172651,0,2.htmlinduction of laborchoiceshared decision-makingmisoprostoloutpatient inductionwomen’s birth experiences |
| spellingShingle | Hanne A. Hægeland Marianne G. Moi Fride E. Austad Hanna Oommen Janne Rossen Mirjam Lukasse Women’s experiences and views of outpatient and inpatient induction of labor with oral misoprostol: A secondary qualitative study European Journal of Midwifery induction of labor choice shared decision-making misoprostol outpatient induction women’s birth experiences |
| title | Women’s experiences and views of outpatient and
inpatient induction of labor with oral misoprostol:
A secondary qualitative study |
| title_full | Women’s experiences and views of outpatient and
inpatient induction of labor with oral misoprostol:
A secondary qualitative study |
| title_fullStr | Women’s experiences and views of outpatient and
inpatient induction of labor with oral misoprostol:
A secondary qualitative study |
| title_full_unstemmed | Women’s experiences and views of outpatient and
inpatient induction of labor with oral misoprostol:
A secondary qualitative study |
| title_short | Women’s experiences and views of outpatient and
inpatient induction of labor with oral misoprostol:
A secondary qualitative study |
| title_sort | women s experiences and views of outpatient and inpatient induction of labor with oral misoprostol a secondary qualitative study |
| topic | induction of labor choice shared decision-making misoprostol outpatient induction women’s birth experiences |
| url | https://www.europeanjournalofmidwifery.eu/Women-s-experiences-and-views-of-outpatient-and-ninpatient-induction-of-labor-with,172651,0,2.html |
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