Childbirth Expectations for Women in a Kenyan County Referral Hospital

Abstract

Background: Pregnant women approach their upcoming birth experience with predetermined expectations which can differ from one woman to another. Forming expectations for a major life event can help one prepare psychologically and physically for that moment. Women use these expectations as a benchmark to evaluate their childbirth.

Aim & Methods: The study determined the childbirth expectations for women in a Kenyan County Public hospital using a qualitative phenomenological design from eleven postnatal women. Data was collected using semi-structured interviews and responses voice recorded. Data analysis was done using content analysis to yield relevant themes.

Findings: Four categories of themes were identified: labour pain intensity and control, emotional support, informational support and physical environment conditions. Nearly half of the respondents expected intolerable labour pain for which the preferred use of analgesia. While it’s the desire of all women to be treated with respect and dignity, previous birth experience made most women expect an encounter with rude, harsh and non-caring staff. Moreover, majority desired to be provided with labour information, be consented to during procedures and have a clean environment with privacy and adequate beds.

Study Implications: To ensure optimum positive childbirth experience for all women, there is need to promote privacy and a respectful maternity care while offering options for labour pain management.