Table 2 Post-labor interview results with women regarding birth wishes and pain relief methods desired pre-birth with post-birth outcomes including birth dissonancea
Name | Expected length labor | Actual Labor length | Women’s wishes pre-labor – pain relief methods Will use | Type of delivery AND Unforeseen interventions/technology/pain relief used in red | Pain relief requested/needed = Y/N Pain relief request met = Immediately, Deferred or Never met | Trauma = mental health services/medication/Hospitali-sation/tokophobia |
|---|---|---|---|---|---|---|
Yvonne BDa | 8 – 11 h | 21 h | Meditation, warm water, movements, TENS, aromatherapy, nitrous oxide, water injection | Vaginal delivery Neville Barnes forceps; Late pudendal block – no spinal block Movement, warm water, TENS, nitrous oxide | Yes Never met– reported pain as very badly managed –felt ignored by staff | Yes |
Andrea BDa | 24 h or longer | 22 h | Warm water, movement, TENS, nitrous oxide, pethidine, epidural | Vaginal delivery forceps delivery; Movement, nitrous oxide, TENS, epidural, | Yes Deferred by midwifery staff – then provided several hours later | Yes |
Indigo BDa | 24 h or longer | 6 h | Warm water, nitrous oxide, epidural | Vaginal delivery syntocinon Movement, nitrous oxide | Yes Never met– told not required by midwifery staff | Yes |
Narelle BDa | 24 h or longer – not sure | 12 h | Nitrous oxide, pethidine; keen to avoid epidural but will use it if necessary | Vaginal delivery forceps Nitrous oxide, pethidine, spinal block | Yes Immediately | Yes |
Linda | 12–15 h | 7.5 h | Warm water, DTM, movement, paracetamol, nitrous oxide if needed keen to avoid | Surgical delivery – Emergency caesarean, epidural Paracetamol, warm water, gas, DTM, movement, nitrous oxide, | Yes Deferred – owing to staff availability then met | Yes |
Hannah | 8- 11 h | 6 h | Warm water, DTM, TENS, nitrous oxide, pethidine | Vaginal delivery Induction for H/T- Syntocinon Nitrous oxide | Yes Immediately | No |
Yolande | 12 – 15 h | 15 h | Warm water, movement, nitrous oxide | Vaginal delivery Epidural in place Warm water, heat pack, massage, movement, nitrous oxide, epidural | Yes Immediately | No |
Naeve^^ | 20-23 h | 24 h | Warm water, movement, TENS, nitrous oxide | Vaginal delivery Movement, TENS, Nitrous oxide | Yes Immediately | No |
Eleanore | 24 h – hoping no more | 22 h | Heat packs, music, hot water, movement, nitrous oxide | Vaginal delivery Movement, nitrous oxide, epidural (failed) | Yes Immediately | No |
Lee-Ann | 24 – 27 h – hoping no more | 14 h | Nitrous oxide, epidural | Surgical Delivery Caesarean post admission Syntocinon for contractions Nitrous oxide, epidural | Yes Immediately | No |
Louise | 18 h | 17.5 h | Nitrous oxide, meditation, warm water, movement | Vaginal delivery Nitrous oxide, warm water, epidural | Yes Deferred – then met | Yes |
Yve | 12–15 h | 7 h | All methods considered if necessary | Vaginal delivery Nitrous oxide, epidural | Yes Deferred – then met | No |
Haley BDa | 8 h | 22 h | Movement, nitrous oxide, epidural | Vaginal delivery meconium in waters, syntoconin for contractions, face presentation, partially retained placenta, small PPH Movement, gas, sterile water injections | Yes Never met | Yes |
Deliah | 18 h | 24 h | Movement, Pethidine | Vaginal delivery posterior presentation Warm water, nitrous oxide, pethidine, sterile water injections | Yes Deferred – then met | No |
Yasmin BDa | 4 h | 1.5 h | Heat packs, warm water, massage, movement, nitrous oxide | Vaginal delivery nitrous oxide Precipitous labor, ruptured membranes at 33 weeks and 6 days, delivered 34 weeks and 1 day | Yes Never met – (inadequate time) | Yes |