Tending to the machine: The impact of intrapartum fetal surveillance on women in Australia.

Autor: Fox D; Collective for Midwifery, Child and Family Health (CMCFH), University of Technology Sydney, NSW, Australia., Coddington R; Collective for Midwifery, Child and Family Health (CMCFH), University of Technology Sydney, NSW, Australia., Levett KM; Collective for Midwifery, Child and Family Health (CMCFH), University of Technology Sydney, NSW, Australia.; School of Medicine, University of Notre Dame Australia, Sydney, NSW, Australia.; NICM Health Research Institute and THRI, Western Sydney University, Penrith, NSW, Australia., Scarf V; Collective for Midwifery, Child and Family Health (CMCFH), University of Technology Sydney, NSW, Australia., Sutcliffe KL; School of Medicine, University of Notre Dame Australia, Sydney, NSW, Australia., Newnham E; School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW, Australia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 May 09; Vol. 19 (5), pp. e0303072. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0303072
Abstrakt: Qualitative research about women and birthing people's experiences of fetal monitoring during labour and birth is scant. Labour and birth is often impacted by wearable or invasive monitoring devices, however, most published research about fetal monitoring is focused on the wellbeing of the fetus. This manuscript is derived from a larger mixed methods study, 'WOmen's Experiences of Monitoring Baby (The WOMB Study)', aiming to increase understanding of the experiences of women and birthing people in Australia, of being monitored; and about the information they received about fetal monitoring devices during pregnancy. We constructed a national cross-sectional survey that was distributed via social media in May and June, 2022. Responses were received from 861 participants. As far as we are aware, this is the first survey of the experiences of women and birthing people of intrapartum fetal monitoring conducted in Australia. This paper comprises the analysis of the free text survey responses, using qualitative and inductive content analysis. Two categories were constructed, Tending to the machine, which explores participants' perceptions of the way in which clinicians interacted with fetal monitoring technologies; and Impressions of the machine, which explores the direct impact of fetal monitoring devices upon the labour and birth experience of women and birthing people. The findings suggest that some clinicians need to reflect upon the information they provide to women and birthing people about monitoring. For example, freedom of movement is an important aspect of supporting the physiology of labour and managing pain. If freedom of movement is important, the physical restriction created by a wired cardiotocograph is inappropriate. Many participants noticed that clinicians focused their attention primarily on the technology. Prioritising the individual needs of the woman or birthing person is key to providing high quality woman-centred intrapartum care. Women should be provided with adequate information regarding the risks and benefits of different forms of fetal monitoring including how the form of monitoring might impact her labour experience.
Competing Interests: I have read the journal’s policy and the first author of this manuscript (DF) has the following competing interests: Deborah Fox has received consultancy fees and research funding for other research projects from Philips Healthcare. Philips Healthcare did not fund this study and had no role in this study.
(Copyright: © 2024 Fox et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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