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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