Evidence map›Paper›PMID 31422024›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2020

A qualitative meta-synthesis of women's experiences of labor dystocia.

Katherine Kissler, Jacqueline Jones, A Kristienne McFarland, Jacalyn Luchsinger

Open access · greenAbstract read
In one paragraph

Article in Women and birth : journal of the Australian College of Midwives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Manipulative Reduction for Abnormal Uterine Inclination in Vaginal Delivery.Computational and mathematical methods in medicine · 2022
    Trial
  3. Article
  4. Article
  5. Article
  6. The Pathophysiology of Labor Dystocia: Theme with Variations.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Katherine KisslerUniversity of Colorado, College of Nursing, Mail Stop C288, 13120 East 19th Ave, Aurora, CO, 80045, USA. Electronic address: Katherine.Kissler@ucdenver.edu.
Jacqueline JonesUniversity of Colorado, College of Nursing, Mail Stop C288, 13120 East 19th Ave, Aurora, CO, 80045, USA.
A Kristienne McFarlandUniversity of Colorado, College of Nursing, Mail Stop C288, 13120 East 19th Ave, Aurora, CO, 80045, USA.
Jacalyn LuchsingerUniversity of Colorado, College of Nursing, Mail Stop C288, 13120 East 19th Ave, Aurora, CO, 80045, USA.
Colorado College · US

Funding

A Novel Classification of Labor Dystocia: Developing a Physiologic Understanding to Facilitate Precision in Diagnosis and Individualized ManagementF31NR018582 · NINR · UNIVERSITY OF COLORADO DENVER · PI KISSLER, KATHERINE · 2019 to 2021
$75k
NINR NIH HHS F31 NR018582
6 · The paper itself

Abstract

problemResearchers have prioritized understanding and differentiating the pathophysiologic mechanisms to improve precision in diagnosis and individualization of care, however the experiences of women with labor dystocia have been underexamined.

backgroundManagement of labor dystocia has been identified as an opportunity for reducing the rate of unnecessary cesarean births and the associated risks to women and their infants. This meta-synthesis explores women's experiences of labor dystocia to enrich the discussion of care practices and contextualize discussions of shared decision making in what is most meaningful to women. QUESTIONS: How does prolonged labor influence women's experience of birth and motherhood? What are women's experiences with decision-making about labor augmentation during prolonged labor?

methodsSandelowski and Barroso's meta-synthesis approach was used to analyze primary qualitative studies of women's experiences of labor dystocia. Through inductive thematic synthesis and reciprocal translation, themes identified in qualitative research, quotations, and coded meaning units were aggregated and interpreted into derived categories and themes.

findingsFourteen qualitative studies were analyzed. Women experienced labor dystocia as a transition from healthy labor to abnormal labor requiring medical support consistent with Transition Theory by Meleis. Six new categories and thirty themes were identified. Each category and theme reflects a distinct component of the experience of labor dystocia. DISCUSSION/

conclusionThere is wide variation in the way women experience labor dystocia. Facilitation of the transition from healthy labor to labor dystocia can be supported by a fluid, adaptable method of caring for women in the face of uncertainty and loss of choice.

Indexed as

AdultCesarean SectionDecision MakingDystociaFemaleHumansLabor, ObstetricMothersParturitionPregnancyQualitative ResearchAugmentationChildbirthLabor dystociaMeta-synthesisQualitative methods

Identifiers

PMID31422024
PMCPMC7018597
OpenAlexW2968024333

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.