Following the synthesis of the studies, Hodnett concluded that supportive care was the most helpful nursing measure. Strong predictors of dissatisfaction with the birth experience were a lack of involvement in decision-making, insufficient information, obstetric interventions and caregivers that were perceived as unhelpful. Four key factors were so importantin women’s evaluation of their birth experience that they were found to outweigh the effects of all other variables (age, ethnicity, socio-economic status, birth environment,
medical interventions, attendance at antenatal education, pain perception, continuity of care and mobility) (Hodnett,2002). These factors were: personal expectations, amount
of support from caregivers, the quality of the caregiverpatient relationship and the involvement of the woman in decision-making, leading the author to conclude: ‘The
influences of pain, pain relief and intrapartum medical interventions on subsequent satisfaction are neither as obvious, as direct nor as powerful as the influences of the attitude and behaviours of the caregivers’ (Hodnett, 2002: 160).
Following the synthesis of the studies, Hodnett concluded that supportive care was the most helpful nursing measure. Strong predictors of dissatisfaction with the birth experience were a lack of involvement in decision-making, insufficient information, obstetric interventions and caregivers that were perceived as unhelpful. Four key factors were so importantin women’s evaluation of their birth experience that they were found to outweigh the effects of all other variables (age, ethnicity, socio-economic status, birth environment,
medical interventions, attendance at antenatal education, pain perception, continuity of care and mobility) (Hodnett,2002). These factors were: personal expectations, amount
of support from caregivers, the quality of the caregiverpatient relationship and the involvement of the woman in decision-making, leading the author to conclude: ‘The
influences of pain, pain relief and intrapartum medical interventions on subsequent satisfaction are neither as obvious, as direct nor as powerful as the influences of the attitude and behaviours of the caregivers’ (Hodnett, 2002: 160).
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