The proposed framework by La Trobe University’s Judith Lumley Center challenges conventional categorizations of coping strategies in childbirth to foster autonomy and empower women based on their individual preferences and values.
This initiative responds to growing concerns highlighted in the New South Wales Parliamentary Inquiry into Birth Trauma, aiming to improve maternity care experiences.
Published in Midwifery, the research critiques current classifications of coping strategies—pharmacological versus non-pharmacological—advocating for a holistic approach.
Dr. Laura Whitburn, along with collaborators Dr. Lester Jones and lead author Janine Shifman, proposes categorizing coping strategies as “intrinsic” (self-generated) and “extrinsic” (requiring external assistance), aiming to shift focus away from over-reliance on medical interventions.
Their study surveyed pregnant women at Mercy Hospital for Women, revealing that feeling safe, supported, and prepared were pivotal factors during labor, often prioritized over pain relief.
Intrinsic strategies like breathing techniques and a positive mindset were commonly valued, while extrinsic methods such as showers, TENS machines, and support from partners were also crucial.
The framework seeks to balance these approaches, recognizing that a combination of intrinsic and extrinsic strategies supports women’s autonomy and enhances their childbirth experience.
It encourages healthcare providers to view pharmacological options as part of a broader toolkit rather than the default solution, thereby promoting a more supportive and empowering birthing environment.
The aim is to reshape discussions around coping strategies in childbirth, fostering a mindset of support and empowerment rather than intervention, thereby improving outcomes and experiences for birthing women.
