City Research Online

The acceptability to women of techniques for managing an impacted fetal head at caesarean section and of randomised trials evaluating those techniques: a qualitative study.

Romano, G., Mitchell, E., Plachcinski, R., Wakefield, N., Walker, K. and Ayers, S. ORCID: 0000-0002-6153-2460 (2021). The acceptability to women of techniques for managing an impacted fetal head at caesarean section and of randomised trials evaluating those techniques: a qualitative study.. BMC Pregnancy Childbirth, 21(103), doi: 10.1186/s12884-021-03577-z

Abstract

BACKGROUND: This study aimed to explore women's views on the acceptability of different techniques for managing an impacted fetal head at caesarean; and the feasibility and acceptability of conducting a trial in this area. METHODS: Qualitative semi-structured interviews with a systematic sample of women who experienced second stage emergency caesarean section at a tertiary National Health Service (NHS) hospital in England, UK. Thematic analysis was used to extract women's views. RESULTS: Women varied in their perceptions of the acceptability of different techniques for managing impacted fetal head. Trust in medical expertise and prioritising the safety of the baby were important contextual factors. Greater consensus was found around informed choice in trials where subthemes considered the timing of invitation, reduced capacity to give consent in emergency situations, and the importance of birth outcomes and having good rapport with healthcare professionals who invite women into trials. Finally, women reflected on the importance of supportive antenatal and postpartum education for impacted fetal head. CONCLUSIONS: This research provides information on the acceptability of techniques and any trial to evaluate these techniques. Findings illustrate the importance of context and quality of care to both acceptability and approaching women to take part in a future trial.

Publication Type: Article
Publisher Keywords: Feasibility; Acceptability; Caesarean; Techniques for impacted fetal head; Qualitative
Subjects: R Medicine > RG Gynecology and obstetrics
Departments: School of Health Sciences > Midwifery & Radiography
Date Deposited: 10 Feb 2021 11:58
URI: https://openaccess.city.ac.uk/id/eprint/25644
[img]
Preview
Text - Published Version
Available under License Creative Commons: Attribution International Public License 4.0.

Download (557kB) | Preview

Export

Downloads

Downloads per month over past year

View more statistics

Actions (login required)

Admin Login Admin Login