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Women’s experiences of breech birth decision making: An integrated review

INTRODUCTION: Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this review is to present a synthesized summary of existing literature related to women’s experiences of...

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Autores principales: Morris, Sara E., Sundin, Deborah, Geraghty, Sadie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784975/
https://www.ncbi.nlm.nih.gov/pubmed/35118350
http://dx.doi.org/10.18332/ejm/143875
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author Morris, Sara E.
Sundin, Deborah
Geraghty, Sadie
author_facet Morris, Sara E.
Sundin, Deborah
Geraghty, Sadie
author_sort Morris, Sara E.
collection PubMed
description INTRODUCTION: Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this review is to present a synthesized summary of existing literature related to women’s experiences of breech birth mode decision-making. METHODS: A systematic search of the literature was conducted in April 2021, utilizing five databases to identify and obtain peer-reviewed articles meeting the predetermined selection criteria. RESULTS: Four major categories were synthesized from the integrated review: 1) Women who desire a vaginal birth may experience a range of negative emotions such as feelings of disempowerment, loss, uncertainty and a sense of isolation; 2) Women who experience a breech presentation at term experience significant pressures to conform to expectations of medical professionals and their families due to perceptions of risk related to breech birth; 3) Breech birth decision-making in a limiting system; and 4) Overall satisfaction with the decision to plan a vaginal breech birth. CONCLUSION: Women with a breech presenting fetus at term experience a complex range of emotions and internal and external pressures due to perceptions of risk around breech birth. Midwives were seen as helpful throughout the breech experience. The reduced caesarean section rate for breech, observed in studies exploring specialized care pathways or dedicated services, could reduce the incidence of Severe Acute Maternal Morbidity.
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spelling pubmed-87849752022-02-02 Women’s experiences of breech birth decision making: An integrated review Morris, Sara E. Sundin, Deborah Geraghty, Sadie Eur J Midwifery Review Paper INTRODUCTION: Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this review is to present a synthesized summary of existing literature related to women’s experiences of breech birth mode decision-making. METHODS: A systematic search of the literature was conducted in April 2021, utilizing five databases to identify and obtain peer-reviewed articles meeting the predetermined selection criteria. RESULTS: Four major categories were synthesized from the integrated review: 1) Women who desire a vaginal birth may experience a range of negative emotions such as feelings of disempowerment, loss, uncertainty and a sense of isolation; 2) Women who experience a breech presentation at term experience significant pressures to conform to expectations of medical professionals and their families due to perceptions of risk related to breech birth; 3) Breech birth decision-making in a limiting system; and 4) Overall satisfaction with the decision to plan a vaginal breech birth. CONCLUSION: Women with a breech presenting fetus at term experience a complex range of emotions and internal and external pressures due to perceptions of risk around breech birth. Midwives were seen as helpful throughout the breech experience. The reduced caesarean section rate for breech, observed in studies exploring specialized care pathways or dedicated services, could reduce the incidence of Severe Acute Maternal Morbidity. European Publishing 2022-01-25 /pmc/articles/PMC8784975/ /pubmed/35118350 http://dx.doi.org/10.18332/ejm/143875 Text en © 2022 Morris S. E. et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License.
spellingShingle Review Paper
Morris, Sara E.
Sundin, Deborah
Geraghty, Sadie
Women’s experiences of breech birth decision making: An integrated review
title Women’s experiences of breech birth decision making: An integrated review
title_full Women’s experiences of breech birth decision making: An integrated review
title_fullStr Women’s experiences of breech birth decision making: An integrated review
title_full_unstemmed Women’s experiences of breech birth decision making: An integrated review
title_short Women’s experiences of breech birth decision making: An integrated review
title_sort women’s experiences of breech birth decision making: an integrated review
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784975/
https://www.ncbi.nlm.nih.gov/pubmed/35118350
http://dx.doi.org/10.18332/ejm/143875
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