title: What do midwives need to know about approaches of women towards labour pain management? A qualitative interview study into expectations of management of labour pain for pregnant women receiving midwife-led care in the Netherlands.
abstract: OBJECTIVE
  to investigate factors important to women receiving midwife-led care with regard to their expectations for management of labour pain.
  
  
  METHODS
  semi-structured ante partum interviews and analyses using constant comparison method.
  
  
  METHODS
  fifteen pregnant women between 36 and 40 weeks gestation receiving midwife-led care.
  
  
  METHODS
  five midwifery practices across the Netherlands between June 2009 and July 2010.
  
  
  RESULTS
  women's expectations regarding management of labour pain.
  
  
  RESULTS
  we found three major themes to be important in women's expectations for management of labour pain: preparation, support and control and decision-making. In regards to all these themes, three distinct approaches towards women's planning for pain management in labour were identified: the 'pragmatic natural', the 'deliberately uninformed' and the 'planned pain relief' approach.
  
  
  CONCLUSIONS
  midwives need to recognise that women take different approaches to pain management in labour in order to adapt care to the individual woman.
authors.affiliation: Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands. Electronic address: g.klomp@vumc.nl.
authors.forename: Trudy
authors.initials: T
authors.lastname: Klomp
authors.affiliation: Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands.
authors.forename: Judith
authors.initials: J
authors.lastname: Manniën
authors.affiliation: Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands.
authors.forename: Ank
authors.initials: A
authors.lastname: de Jonge
authors.affiliation: Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands; Midwifery Education Program, McMaster University Hamilton, Ontario, Canada.
authors.forename: Eileen K
authors.initials: EK
authors.lastname: Hutton
authors.affiliation: Department of Primary Care and Community Care, Women's Studies Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands.
authors.forename: Antoine L M
authors.initials: AL
authors.lastname: Lagro-Janssen
mesh_terms: D036861:Delivery, Obstetric / Q000451:nursing*; D005260:Female; D006801:Humans; D048949:Labor Pain / Q000451:nursing*; D007857:Leadership; D008880:Midwifery / Q000379:methods*; D009426:Netherlands; D024802:Nurse's Role; D059408:Pain Management / Q000379:methods; D057184:Practice Patterns, Nurses' / Q000458:organization & administration*; D011247:Pregnancy; D011295:Prenatal Care
keywords: Childbirth; Labour pain; Midwife-led care