Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience

Objective The objective of this study was to explore women’s and their partners’ experiences with attending postnatal consultations with an obstetrician after critical perinatal events.Design Qualitative interview study. We did semi-structured individual narrative interviews exploring the lived expe...

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Main Authors: Marianne Johansen, Jette Led Sørensen, Stinne Høgh, Laura Emdal Navne, Mette Nordahl Svendsen
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e037933.full
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author Marianne Johansen
Jette Led Sørensen
Stinne Høgh
Laura Emdal Navne
Mette Nordahl Svendsen
author_facet Marianne Johansen
Jette Led Sørensen
Stinne Høgh
Laura Emdal Navne
Mette Nordahl Svendsen
author_sort Marianne Johansen
collection DOAJ
description Objective The objective of this study was to explore women’s and their partners’ experiences with attending postnatal consultations with an obstetrician after critical perinatal events.Design Qualitative interview study. We did semi-structured individual narrative interviews exploring the lived experiences. Interviews were analysed using a phenomenological approach and the thematic analysis was validated by a transdisciplinary group of anthropologists, obstetricians and a midwife.Setting Department of obstetrics at a large hospital in Denmark.Participants We did a qualitative study with 17 participants (10 women and 7 partners) who had experienced critical perinatal events.Results Five major themes were identified: (1) a need to gain understanding and make sense of the critical perinatal events, (2) a need for relational continuity, (3) the importance of discussing emotional effects as well as physical aspects of occurred events, (4) preparing for future pregnancies and (5) closure of the story.Most of the participants emphasised the importance of knowing the obstetrician undertaking the postnatal consultation. The majority of the participants described a need to discuss the emotional effects of the experience as well as the physical aspects of occurred events. The postnatal consultation served as an approach to obtain a positive closure of their birth story and to feel confident about potential future pregnancies.Conclusions This interview-based study suggests that postnatal consultation with an obstetrician might be an important tool for women and their partners in understanding the course of events during the critical birth experience and in processing it and preparing for future pregnancies. It appears to be important to assign an obstetrician whom they already know and to encourage them to discuss not only physical aspects of what happened but also the emotional effects of the experience.
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spelling doaj-art-d40be688641142dc92b0dd2f2ae0ef232025-01-08T11:20:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037933Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experienceMarianne Johansen0Jette Led Sørensen1Stinne Høgh2Laura Emdal Navne3Mette Nordahl Svendsen43 Department of Obstetrics, Rigshospitalet, København, Denmark6 Juliane Marie Centre for Children, Women and Reproduction Section 4074, Copenhagen University Hospital, Copenhagen, DenmarkNeurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark2 Health, VIVE, Copenhagen, DenmarkPublic Health, Faculty of Health Sciences, University of Copenhagen, Kobenhavn, DenmarkObjective The objective of this study was to explore women’s and their partners’ experiences with attending postnatal consultations with an obstetrician after critical perinatal events.Design Qualitative interview study. We did semi-structured individual narrative interviews exploring the lived experiences. Interviews were analysed using a phenomenological approach and the thematic analysis was validated by a transdisciplinary group of anthropologists, obstetricians and a midwife.Setting Department of obstetrics at a large hospital in Denmark.Participants We did a qualitative study with 17 participants (10 women and 7 partners) who had experienced critical perinatal events.Results Five major themes were identified: (1) a need to gain understanding and make sense of the critical perinatal events, (2) a need for relational continuity, (3) the importance of discussing emotional effects as well as physical aspects of occurred events, (4) preparing for future pregnancies and (5) closure of the story.Most of the participants emphasised the importance of knowing the obstetrician undertaking the postnatal consultation. The majority of the participants described a need to discuss the emotional effects of the experience as well as the physical aspects of occurred events. The postnatal consultation served as an approach to obtain a positive closure of their birth story and to feel confident about potential future pregnancies.Conclusions This interview-based study suggests that postnatal consultation with an obstetrician might be an important tool for women and their partners in understanding the course of events during the critical birth experience and in processing it and preparing for future pregnancies. It appears to be important to assign an obstetrician whom they already know and to encourage them to discuss not only physical aspects of what happened but also the emotional effects of the experience.https://bmjopen.bmj.com/content/10/9/e037933.full
spellingShingle Marianne Johansen
Jette Led Sørensen
Stinne Høgh
Laura Emdal Navne
Mette Nordahl Svendsen
Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
BMJ Open
title Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
title_full Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
title_fullStr Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
title_full_unstemmed Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
title_short Postnatal consultations with an obstetrician after critical perinatal events: a qualitative study of what women and their partners experience
title_sort postnatal consultations with an obstetrician after critical perinatal events a qualitative study of what women and their partners experience
url https://bmjopen.bmj.com/content/10/9/e037933.full
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