The experience of labour: a perspective from those receiving care in a midwife-led unit.

AIM

to elucidate the experience of labour for those receiving any aspect of care in a midwife-led unit.

PARTICIPANTS

a total of 32 women and six partners who were interviewed during the postnatal period, either prior to discharge from the unit or between three and five months following delivery.

METHOD

in-depth focused interviews were taped, transcribed, and analysed using a grounded theory approach to identify common categories of experience.

FINDINGS

the core category to emerge was the balance of perceived control and perceived support. Sub-categories included feeling informed, having options and choices, a supportive environment and someone to trust and give confidence. Continuity of care was found not to be an option for those whose care was transferred during pregnancy or labour.

CONCLUSIONS

staffing levels which provide immediate access to the support of the midwife throughout labour enhance personal control. Those with the greatest need for support and continuity of care and carer are among those least likely to receive it.