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Afaya, A., Dzomeku. V. M., Baku, E. A., Afaya, R. A., Ofori, M., Agyeibi, S.,
Boateng, F., Gamor, R. O., Gyasi­Kwofie, E. og Mwini Nyaledzigbor, P.
P. (2020). Women’s Experiences of Midwifery Care Immediately Before
and After Caesarean Section Deliveries at a Public Hospital in the Western
Region of Ghana. BMC Pregnancy and Childbirth, 20(1), 1­9. doi.org/10.1186/
s12884­019­2698­4.
Andersen, B. R., Rasmussen, M. B., Christensen, K. B., Engel, K. G., Ringsted,
C., Løkkegaard, E. og Tolsgaard, M. G. (2020). Making the Best of the
Worst: Care Quality During Emergency Cesarean Sections. Public Library of
Science (PLoS), 15(2) 1–13. doi.org/10.1371/journal.pone.0227988.
Asadzadeh, L., Jafari, E., Kharaghani R. og Taremian, F. (2020). Effectiveness
of Midwife­Led Brief Counselling Intervention on Post­Traumatic Stress
Disorder, Depression, and Anxiety Symptoms of Women Experiencing a
Traumatic Childbirth: A Randomized Controlled Trial. BMC Pregnancy and
Childbirth, 20(1), 1­9. doi.org/10.1186/s12884­020­2826­1.
Benton, M., Salter, A., Tape, N., Wilkinson, C. og Turnbull, D. (2019). Women’s
Psychosocial Outcomes Following an Emergency Caesarean Section: A
Systematic Literature Review. BMC Pregnancy and Childbirth, 19(1) 1–24. doi.
org/10.1186/s12884­019­2687­7.
Boorman, R. J., Devilly, G. J., Gamble, J., Creedy, D. K. og Fenwick, J. (2014).
Childbirth and Criteria for Traumatic Events. Midwifery, 30(2), 255–261. doi.
org/10.1016/j.midw.2013.03.001.
Burcher, P., Cheyney, M. J., Li, K. N., Hushmendy, S. og Kiley, K. C. (2016).
Cesarean Birth Regret and Dissatisfaction: A Qualitative Approach. Birth,
43(4), 346–352. doi.org/10.1111/birt.12240.
Carquillat, P., Boulvain, M. og Guittier, M. (2016). How Does Delivery Method
Influence Factors That Contribute to Women’s Childbirth Experiences?
Midwifery, 43, 21–28. doi.org/10.1016/j.midw.2016.10.002.
Coates, D., Thirukumar, P. og Henry, A. (2019). Women’s Experiences and
Satisfaction With Having a Cesarean Birth: An Integrative Review. Birth,
47(2),169–182. doi.org/10.1111/birt.12478.
De Graaff, L. F., Honig, A., van Pampus, M. G. og Stramrood, C. A. I. (2018).
Preventing Post­Traumatic Stress Disorder Following Childbirth and
Traumatic Birth Experiences: A Systematic Review. Acta Obstetricia et
Gynecologica Scandinavica, 97(6), 648–656. doi.org/10.1111/aogs.13291.
Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., Wigert,
H., Hessman, E., Sjöblom, H. og Sparud­Lundin, C. (2019). Causes and
Outcomes in Studies of Fear of Childbirth: A Systematic Review. Women and
Birth, 32(2), 99–111. doi.org/10.1016/j.wombi.2018.07.004.
Eckerdal, P., Georgakis, M. K., Kollia, N., Wikström, A. K., Högberg U. og
Skalkidou, A. (2017). Delineating the Association Between Mode of
Delivery and Postpartum Depression Symptoms: A Longitudinal Study.
Acta Obstetricia et Gynecologica Scandinavica, 97(3), 301–311. doi.org/10.1111/
aogs.13275.
Eide, K. T., Morken, N. og Bærøe, K. (2019). Maternal Reasons for Requesting
Planned Cesarean Section in Norway: A Qualitative Study. BMC Pregnancy
and Childbirth, 19(102), 1–10. doi.org/10.1186/s12884­019­2250­6.
Gottfredsdottir, H., Steingrímsdóttir, Þ., Björnsdóttir, A., Guðmundsdóttir, E.
Ý. og Kristjánsdóttir, H. (2016). Content of Antenatal Care: Does It Prepare
Women for Birth? Midwifery, 39, 71–77. doi.org/10.1016/j.midw.2016.05.002.
Handelzalts, J. E., Waldman Peyser, A., Krissi, H., Levy, S., Wiznitzer, A. og
Peled, Y. (2017). Indications for Emergency Intervention, Mode of Delivery,
and the Childbirth Experience. Public Library of Science (PloS ONE), 12(1),
1–8. doi.org/10.1371/journal.pone.0169132.
Heiðdís Valgeirsdóttir, Hildur Harðardóttir og Ragnheiður I. Bjarnadóttir. (2010).
Fylgikvillar við keisaraskurði. Læknablaðið, 96(1), 37–42. doi.org/10.17992/
lbl.2010.01.06.
Hildingsson, I., Rubertsson, C., Karlström, A. og Haines, H. (2019). A Known
Midwife Can Make a Difference for Women With Fear of Childbirth –
Birth Outcome and Women’s Experiences of Intrapartum Care. Sexual &
Reproductive Healthcare, 21, 33­38. doi.org/10.1016/j.srhc.2019.06.004.
Hollins Martin, C. J. og Robb, Y. (2013). Women’s Views About the Importance
of Education in Preparation for Childbirth. Nurse Education in Practice, 13(6),
512–518. doi.org/10.1016/j.nepr.2013.02.013.
Ilska, M., Banaś, E., Gregor, K., Brandt­Salmeri, A., Ilski, A. og Cnota, W. (2020).
Vaginal Delivery or Caesarean Section – Severity of Early Symptoms of
Postpartum Depression and Assessment of Pain in Polish Women in the Early
Puerperium. Midwifery, 87, 1–6. doi.org/10.1016/j.midw.2020.102731.
Karlström, A. (2017). Women’s Self­Reported Experience of Unplanned
Caesarean Section: Results of a Swedish Study. Midwifery, 50, 253–258. doi.
org/10.1016/j.midw.2017.04.016.
Karlström, A., Nystedt, A. og Hildingsson, I. (2015). The Meaning of a Very
Positive Birth Experience: Focus Groups Discussions With Women. BMC:
Pregnancy & Childbirth, 15, 1–8. doi.org/10.1186/s12884­015­0683­0.
Konheim­Kalkstein, Y. L. og Miron­Shatz, T. (2019). “If Only I Had …”: Regrets
From Women With an Unplanned Cesarean Delivery. Journal of Health
Psychology, 26(11), 1939–1950. doi.org/10.1177/1359105319891543.
Løvåsmoen, E. M. L., Bjørgo, M. N, Lukasse, M., Schei, B. og Henriksen, L.
(2018). Women’s Preference for Cesarean Section and the Actual Mode of
Delivery – Comparing Five Sites in Norway. Sexual & Reproductive Healthcare,
16, 206–212. doi.org/10.1016/j.srhc.2018.04.009.
Meric, M., Ergun, G., Pola, G., Yayci, E. og Dal Yilmaz, U. (2019). Women’s
Experience of Cesarean Section: A Qualitative Study. Cyprus Journal of
Medical Sciences, 4(3), 183–188. doi.org/10.5152/cjms.2019.661.
Neubauer, B. E., Witkop, C. T. og Varpio, L. (2019). How Phenomenology Can
Help Us Learn From the Experiences of Others. Perspectives on Medical
Education, 8(2), 90–97. doi.org/10.1007/s40037­019­0509­2.
Nystedt, A. og Hildingsson, I. (2018). Women’s and Men’s Negative Experience of
Childbirth – A Cross­Sectional Survey. Women and Birth, 31(2), 103–109. doi.
org/10.1016/j.wombi.2017.07.002.
Schantz, C., Pantelias, A., de Loenzien, M., Ravit, M., Rozenberg, P., Louis­
Sylvestre, C. og Goyet, S. (2021). A Caesarean Section Is Like You’ve Never
Delivered a Baby’: A Mixed Methods Study of the Experience of Childbirth
Among French Women. Reproductive Biomedicine & Society Online, (12)
69–78. doi.org/10.1016/j.rbms.2020.10.003
Sigurdardottir, V. L., Gamble, J., Gudmundsdottir, B., Kristjansdottir, H.,
Sveinsdottir, H. og Gottfredsdottir, H. (2017). The Predictive Role of
Support in the Birth Experience: A Longitudinal Cohort Study. Women and
Birth, 30(6), 450–459. doi.org/10.1016/j.wombi.2017.04.003
Sigríður Halldórsdóttir. (2021). Fyrirbærafræði sem rannsóknaraðferð. Í Sigríður
Halldórsdóttir (ritstjóri), Rannsóknir: Handbók í aðferðafræði (bls. 249–262).
Háskólaútgáfan.
Simpson, M. og Catling, C. (2016). Understanding Psychological Traumatic Birth
Experiences: A Literature Review. Women and Birth, 29(3), 203–207. doi.
org/10.1016/j.wombi.2015.10.009.
Tham, V., Ryding, E. L. og Christensson, K. (2010). Experience of Support Among
Mothers With and Without Post­Traumatic Stress Symptoms Following
Emergency Caesarean Section. Sexual & Reproductive Healthcare, 1(4), 175­
180. doi.org/10.1016/j.srhc.2010.06.004
Valgerður Lísa Sigurðardóttir, Ólöf Ásta Ólafsdóttir, Þóra Steingrímsdóttir og
Helga Gottfreðsdóttir. (2017). Hvað einkennir þann hóp kvenna sem leitar til
Ljáðu mér eyra. Ljósmæðrablaðið, 75(2), 30–36.
Védís Helga Eiríksdóttir og Hildur Björk Sigbjörnsdóttir. (2021). Fæðingar og
meðgöngutengdir sjúkdómar 2020, Talnabrunnur, fréttabréf Landlæknis um
heilbrigðisupplýsingar, 15(8), 1–5. september 2021. landlaeknir.is/servlet/file/
store93/item47703/Talnabrunnur_september_2021.pdf.
World Health Organization. (2021). Caesarean Section Rates Continue To Rise, Amid
Growing Inequalities in Access. who.int/news/item/16­06­2021­caesarean­
section­rates­continue­to­rise­amid­growing­inequalities­in­access.
Yokote, N. (2008). Women’s Experiences of Labor, Surgery, and First Postnatal
Week by an Emergency Cesarean Section. Medicine: Journal of Japan Academy
of Midwifery, 22(1), 37–48. doi.org/10.3418/jjam.22.37.
Background
Women who end up having an emer­
gency caesarean section are more likely
to experience a negative birth experience
than women who give birth normally
or give birth with a planned caesarean
section. They often feel that they have
lost control, and even fear for their lives
and the baby, at the same time as they
feel anxious and disappointed that the
birth did not end as they had hoped.
Purpose
To gain a deeper understanding of the
experience of women who begin in nor­
mal labour and then must undergo an
emergency caesarean section.
Method
This study was conducted using a phe­
nomenological approach, based on the
Vancouver University method. The
sample was a convenience sample where
the requirements for participation were;
to speak Icelandic, to have started out in
normal labour and then had to undergo
an emergency caesarean section, and
where at least six months and no more
than five years had passed since the birth.
Requests for participation were posted
on the Facebook group Mæðratips and
one interview was conducted with each
of the participants, using an interview
framework, for a total of 12 interviews.
Results
The women described mixed emotions
like disappointment, distress and fear
for their life and their child, as well as a
certain relief. The overarching theme of
the study was a difficult experience: some­
thing that one does not necessarily expect to
happen. This describes how the women
experienced the trauma of having to
undergo an emergency caesarean section
and that it took them a long time to
recover from that experience. There were
seven main themes: Having to have an
emergency caesarean section, mental well­
being, influencing factors, physical well­
being, education and follow­up, partners,
and current well­being. Sub­themes were
then analysed under the main themes.
Conclusion
To start out in normal labour and then
having to undergo an emergency cae­
sarean section is commonly a diffi cult and
complex experience where the support of
the midwife can have a profound effect
on the women’s experience.
Keywords
emergency caesarean section
birth experience
mental well-being
midwifery
phenomenology
AbstractAuthors
María Sunna Einarsdóttir, RN,
RM, BS, MS 1
Dr. Sigfríður Inga Karlsdóttir,
professor, RN, RM, BS, MS,
PhD 2
1 Landspítali National University
Hospital of Iceland.
2 Faculty of Health, Business and
Natural Sciences, University of
Akureyri.
english summary
A Difficult Experience and Something
That One Does Not Expect To Happen:
The Experience of Women Who Begin
in Normal Labour and Then Must Under­
go an Emergency Caesarean Section