Novel grouping of planned coping strategies for managing the intensity
of labour: A qualitative study
Abstract
Objective: It is common for women to explore and plan strategies to cope
during labour. These strategies are usually focused on pain control and
described as either pharmacological or non-pharmacological. As labour is
an individual experience, each woman should be enabled to choose
strategies that best suit them, and that reflect what they feel
influences their sense of capacity to cope. By exploring women’s
intentions and choices of strategies, this study aimed to understand how
coping strategies can better reflect women’s individual needs and
expectations. Design: Survey of 56 pregnant women, including open-ended
questions. Setting: Australian tertiary maternity hospital. Population:
Nulliparous women. Methods: Content and thematic analysis of open-ended
responses. Main outcome measures: A qualitative description of women’s
planned coping strategies for labour. Results: Themes related to how
women frame the intensity of labour, how they strive for a relationally
safe environment and a need to be prepared and knowledgeable. Strategies
chosen by women could be grouped into two categories: intrinsic and
extrinsic. Intrinsic strategies could be self-generated by women (such
as breathing techniques and movement), while extrinsic strategies
required either equipment (such as a bath) or others to administer (such
as epidural analgesia). Conclusions: Women value having a range of
intrinsic and extrinsic strategies that enable autonomy or require
external support. This moves beyond the ‘pharmacological and
non-pharmacological’ categorisation of strategies. The findings provide
a foundation for more targeted research into how women can be supported
to individualise and implement these coping strategies in labour.