A prospective study of women's views of factors contributing to a positive birth experience

Objective: to explore the aspects of a woman's childbirth experience which she perceived as being important. Design: as part of a large randomised trial, which assessed the timing of intervention in prolonged labour, women's views were explored using a specifically-designed questionnaire. The questionnaire, which was administered on the second postnatal day, incorporated a rating scale followed by an open question. The responses to the open question are presented in this paper. Setting: regional teaching hospital in the north west of England. Sample: 615 primigravid women received a copy of the questionnaire. Of the 519 women who returned the questionnaire, 412 women answered the relevant section, the findings of which are presented in this paper. Analysis: the responses to the open-ended question were analysed by the generation of themes from the most frequently occuring responses. Main findings: the main themes which emerged were support, information, intervention, decision making, control, pain relief and trial participation. Key conclusions and implications for practice: most women are able to identify important contributors to a positive intrapartum experience. Midwives have an important role in identifying these contributors and supporting women to fulfil their individual needs.