Real-time reflections during induction of labor: A qualitative study of women’s perspectives

BACKGROUND: The World Health Organization emphasizes the importance of a positive childbirth experience for future mental health. Induction of labor (IOL) is increasingly common and may increase the risk of negative childbirth experiences. To separate the IOL experience from later events during labor, we collected women's real-time reflections during the IOL process. OBJECTIVE: This study aimed to explore and describe what is important to women during IOL, based on their in-the-moment reflections. METHODS: As part of the Labor Induction Inpatient and Outpatient (LINO) project, we conducted a qualitative study from February 2021 to December 2022 at two Norwegian maternity wards. The study included healthy women expecting a healthy baby, who responded to a daily questionnaire during their IOL process. Data were analyzed using content analysis as described by Graneheim and Lundman. RESULTS: We identified with one overarching theme: The need to feel secure when facing the unfamiliar and life-altering experience of childbirth, along with three categories: 1) Demanding mental processes, 2) The crucial role of supportive relationships, and 3) Essential practical needs. Women highlighted the importance of having their partners present, receiving comprehensive information, and choosing their preferred care setting for emotional and medical security. CONCLUSION: To support women during, it is essential to meet their fundamental need for both medical and emotional security. Ensuring access to healthcare professionals, partner support, and comprehensive information can enhance their well-being. Adapting care to support these needs can help improve women's experiences with IOL.