title: The experience of childbrith in first-time mothers who received narcotic analgesics during the first stage of labour.
abstract: This research has focused on the birthing experience of first-time mothers who received the narcotic analgesic combination of Pethidine and Hydroxyzine during the first stage of labour. A qualitative research methodology was used to collect data. Unstructured interviews were held with first-time mothers to obtain accounts of their experience of childbirth. These narrations were audio-taped while the participants were still being cared for in the postnatal ward of the hospital where delivery took place. Nine interviews were conducted with first-time mothers who gave birth normally vaginally after a normal pregnancy and who received a narcotic analgesic in the first stage of labour. The transcribed interviews were analyzed using Tesch's method of descriptive analysis (in Creswell, 1994:115). Four themes with sub-themes emerged from the analysis. The participants reported on the physical experience of labour and described experiencing a lot of pain for which analgesics were given. They also described how these drugs dulled the pain but made them sleepy and unable to cooperate with the midwives. They described their emotional experiences, which included joy and happiness as well as anxiety, anger and despondence. They also reported that they were not sufficiently informed about labour and child-birth. In the last theme they described the methods they used to help them cope with labour including distracting techniques, leaning on a supportive person or praying. Guidelines to help midwives overcome these problems were developed.
authors: Nursing Science Department, P.O. Box 77000, Nelson Mandela Metropolitan University, Port Elizabeth. tillie.jantjes@nmmu.ac.za
authors: L
authors: L
authors: Jantjes
authors: J
authors: J
authors: Strümpher
authors: W J
authors: WJ
authors: Kotzé
mesh_terms: D000223:Adaptation, Psychological; D016362:Analgesia, Obstetrical / Q000009:adverse effects / Q000379:methods / Q000523:psychology; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use; D001294:Attitude to Health; D004359:Drug Therapy, Combination; D004644:Emotions; D005260:Female; D006634:Histamine H1 Antagonists / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D006919:Hydroxyzine / Q000009:adverse effects / Q000627:therapeutic use; D048949:Labor Pain / Q000188:drug therapy / Q000523:psychology; D007747:Labor Stage, First / Q000187:drug effects / Q000523:psychology; D008614:Meperidine / Q000009:adverse effects / Q000627:therapeutic use; D009035:Mothers / Q000523:psychology*; D033262:Narration; D009721:Nurse Midwives; D015404:Nursing Methodology Research; D010298:Parity; D036801:Parturition / Q000187:drug effects / Q000523:psychology; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires
chemical_list: D000701:Analgesics, Opioid; D006634:Histamine H1 Antagonists; D006919:Hydroxyzine; D008614:Meperidine