A total of ten women aged 20 to 40 years participated in the study. (table1)
Table1: The demographic characteristics of the participants
Variable N(%)
|
Age
20-30 7(70)
31-40 3(30)
Total 10(100)
|
Education
Under diploma 1(10)
Diploma 4(40)
University 5(50)
Total 10(100)
|
Parity
Primipara 4(40)
Multipara 6(60)
Total 10(100)
|
Occupation
Housewife 8(80)
Employed 2(20)
Total 10(100)
|
Interviews with the participants were analyzed, and conceptual codes were extracted and then coded into two themes and five subthemes. The theme includes: control and empowerment and subtheme includes preparation, coping, support, self-efficacy and self-esteem(table2)
Table2: Theme and subtheme identified from women with pleasant childbirth experience
theme
|
subtheme
|
Control
|
preparation
|
coping
|
support
|
empowerment
|
self-efficacy
|
self-esteem
|
Control
preparation
Participants in this study stated that preparation (mentally and physically) plays a significant role in the experience of childbirth. This preparation is created by knowing about the process of childbirth, pregnancy and childbirth was planned and familiarity with the environment. Participants in the study also stated that they obtained information from a variety of sources including the media, childbirth preparation classes, parental, and others important.
"I liked the natural delivery, and I was searching the internet a lot, I felt I could have a normal delivery.” (p 2)
Another participant stated, "Birth preparation class training was very helpful to me."
"My mother always told me I had four natural births. How can you not? What they said was more tolerable “. (p 4)
"I had received information from those who had given birth, saying is not hurting, Cesarean section hurts over time." (p7)
Previous familiarity with the delivery environment plays a vital role in the satisfaction of childbirth. women familiarity with the delivery environment before childbirth gives rise to realistic expectations.
The women in this study stated that:
" I was already familiar with the hospital. I didn't expect much." (p8)
Some participants stated that pregnancy and childbirth should be planned to be enjoyable.
" The guest that is coming into your life but always with you, before you invite it you have to prepare the field, not without planning, support it when you get it." (p5)
Coping
The study found that women who used cognitive (distraction and beliefs) and functional (relaxation techniques) approaches to childbirth were better able to control childbirth.
"My baby was the best thing; thinking of my baby would get me out of pain." (p8)
"It was always in my mind during the birth that I was hugging my baby; it feels so good." (p8)
" during the labour and birth, I thought to God that it would give more power." (p1)
"The pain is the pain with the result. You're not hopeless, you know a baby wants to come." (p5)
"I did a number of exercises during the pain, which made my cervix open faster. "(p10)
support
In the study, most participants stated that when they come to attention, they could better control their delivery. This attention includes: care provider, husband and relatives support.
Appropriate care provider communication can support women well (perception women's needs, Informing women about the progress of childbirth, adequate physical care)
In this study, participants stated that:
"I would ask my midwife How am I now? They said you were making progress; I hope you do "(p1)
"I wanted to inform me. Well, knowing what stage you are in and how much you have left, very helpful"(p5)
"A staff must understand her illness, some have the ability to give birth, some cannot." (p3)
"When they listened to a baby's heart several times in one hour, I thought to myself that they work really well." (p4)
In this study, the participants also stated that the support and presence of husband and relatives play a useful role in their childbirth experience.
"My husband was very supportive of me during all the pregnancy moments; she was with me at delivery and after delivery." (p7)
Empowerment
self-esteem
In this study, women with positive childbirth experiences find out their ability and ability to cope, their responsibility to their family and their independence, which indicates an increase in their empowerment in their lives.
participants stated that:
"When I had normal childbirth, I felt I was strong enough to give birth." (p6)
"With childbirth your duty becomes heavier, you take more responsibility, You'll be responsible for someone else." (p9)
"Previously, I wanted to do one thing, I asked ten people, no now, I was empowered with childbirth, I thought I should keep somebody else "(p2)
self-efficacy
In this study also found that women with a positive experience of childbirth, high self-efficacy, a better understanding of the maternal role, tend to continue fertility in subsequent vaginal births.
participants stated that:
"Natural childbirth is really 'love, you don't understand what it means to be a mother until you have labour pain"(p3)
"If I want to give birth again, I still want to have a normal delivery." (p4)