title: Waiting for permission to enter the labour ward world: first time parents' experiences of the first encounter on a labour ward.
abstract: BACKGROUND
  For women and their partners, the first meeting with professional staff on the labour ward is important. This initial encounter is a short but sensitive meeting. It may be particularly crucial for first time parents, most of whom have no prior experience of the birth environment. The objective of this study was to explore the meaning of first time mothers' and their partners' first encounter with midwives and other maternity care staff when they arrive on a hospital labour ward.
  
  
  METHODS
  A hermeneutic, reflective lifeworld research approach was chosen to identify patterns of meanings, comprehension and explanations. Participants from Western Sweden were interviewed in the postnatal period; 37 individually, and 28 in focus groups.
  
  
  RESULTS
  Four themes were identified: 'timing it right ', 'waiting to be informed', 'being in an inferior position', and 'facing reality with a mosaic of emotions'. The final interpretation of the phenomenon is captured as 'waiting for permission to enter the labour ward world'.
  
  
  CONCLUSIONS
  The findings demonstrate the parents' efforts trying to determine the appropriateness of arrival to the labour ward. An asymmetric power relationship was expressed in the obedient acceptance of the waiting for attention in an unfamiliar situation. These findings suggest that the labour ward entry process is not parent centred. As entry to the labour ward sets the tone for the rest of the birth, this period in the labour process needs more attention in future research and practice from the maternity care professionals perspective.
authors: Department of Women's Health, NU Hospital, Trollhättan, Sweden. viola.nyman@vgregion.se
authors: Viola
authors: V
authors: Nyman
authors: Soo
authors: S
authors: Downe
authors: Marie
authors: M
authors: Berg
mesh_terms: D000328:Adult; D004644:Emotions; D005260:Female; D017144:Focus Groups; D018939:Holistic Nursing; D006757:Hospital Units; D006801:Humans; D007231:Infant, Newborn; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008880:Midwifery; D009723:Nurse-Patient Relations; D009774:Obstetrics; D010290:Parents; D011209:Power, Psychological; D011247:Pregnancy; D012931:Social Environment; D013548:Sweden; D055815:Young Adult