The Perfect Storm: Unexpected Birthing Experiences and Perinatal Mood Disorders
Review TypeNone: Degree-based Submission
Repository Posting Date2020-02-04T17:22:04Z
Author(s)Goldbort, Joanne G.
Author DetailsDr. Joanne G. Goldbort, RN, PhD
Lead Author Sigma AffliationAlpha Psi
Level of EvidencePhenomenology
Research ApproachQualitative Research
Intrapartum nurses play a significant role in shaping the lived experience of a woman's birth. Examining the lived experience of women's birth can serve as a critical component in nursing practice as a means to improve patient care outcomes with regards to the development of a perinatal mood disorder. The purpose of this qualitative study was to examine women's unexpected birth experience in order to ascertain what contributions from these women's stories might be made to enhance nursing care. Husserl's descriptive phenomenology was the qualitative research design used to examine women's unexpected birth experience, defined as any or all of the following: (1) an instrumentally assisted vaginal delivery either by forceps and/or by a vacuum extractor; (2) a third or fourth degree tear; (3) birth by an emergency Cesarean delivery; or (4) women who perceived that their delivery was incongruent with their expectations. A purposive sample of ten women was recruited through a local Mothering as a Career Club and through a professional colleague who counseled women with perinatal mood disorders. Transcribed interviews were done of each woman's birth experience using Colaizzi's method of analysis. Three critical elements---caring, connection, and control---were missing from these women's unexpected birthing experiences. The following three themes emerged from the data: They're the experts and they know what's best; I just didn't have a nurse who was really there; and you're not in control of the experience. After careful examination of their experiences, the universal denominator for the women developing a perinatal mood disorder was comprised of the uncaring attitudes, disconnection, and the lack of control that existed between each birthing woman and her nurse/caregivers coupled with all of these women's unmet pre-birth expectations. When the three critical elements caring, connection, and control are missing, then the fall-out from their devastating perfect storm experience propels the women in this study into the downward spiraling condition known as a perinatal mood disorder. Perinatal nurses have an opportunity to influence a caring intrapartum environment for all parturient women to avoid negative experiences and outcomes.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3220181; ProQuest document ID: 305337383. The author still retains copyright.
Degree GrantorIndiana University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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