The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Sociodemographic differences in women’s experience of early labour care: a mixed methods study
Abstract
Objectives: To explore women’s experiences of early labour care focusing on sociodemographic differences, and to examine the effect of antenatal education, using mixed methods. Setting: England, 2014. Participants: Women who completed postal questionnaires about their experience of maternity care, including questions about antenatal education, early labour and sociodemographic factors, included space for free-text comments. Outcome measures: Worries about labour, contact with midwives in early labour and subsequent care. Methods: This study was based on secondary analysis of a national maternity survey carried out in England in 2014. Quantitative data were analysed using descriptive statistics and binary logistic regression; qualitative data were analysed using a thematic content analytic approach. Results: Completed questionnaires were received from 4578 women (47% response rate). There were significant differences by sociodemographic factors, particularly ethnicity, in women’s worries about early labour. Compared with white women, women from black or minority ethnic groups had an adjusted OR of 1.93 (95% CI 1.56 to 2.39) of feeling worried about not knowing when labour would start. Among women who contacted a midwife at the start of labour, 84% perceived their advice as appropriate, more in older and multiparous women. Overall, 64% of women were asked to come to the hospital at this time, more in multiparous women (adjusted OR 1.63, 95% CI 1.35 to 1.96). Those who did not have access to antenatal education experienced greater worry about early labour. Five themes emerged from the qualitative analysis: ‘Differentiating between early and active labour’, ‘Staff attitudes’, ‘Not being allowed…’, ‘Previous labours’ and ‘Perceived consequences for women’. Conclusion: These findings reinforce the importance of providing reassurance to women in early labour, taking care that women do not feel neglected or dismissed. In particular, primiparous and ethnic minority women reported greater worry about early labour and require additional reassurance.
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“In the context of the current study, this fi nding is surprising, given the vast body of evidence exploring this notion [17,19-21,23,44-50].”
From The birth trauma earthquake: A qualitative investigation of first-time mothers who perceived their birth as traumatic (2026) · cites this paper as [20]
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“Women from minority ethnic groups often report feeling as though staff are disrespectful [19], increased worry regarding labour and birth, and ultimately poorer experiences of maternity care [20].”
From The birth trauma earthquake: A qualitative investigation of first-time mothers who perceived their birth as traumatic (2026) · cites this paper as [20]
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Understanding Reliability and Validity in Qualitative Research
Golafshani, N. (2015) · The Qualitative Report · doi:10.46743/2160-3715/2003.1870 · Cited by 5,157
Labor; clinical evaluation and management
Friedman, E. A. (1978) · Appleton-Century-Crofts eBooks · Cited by 262
Experiencing maternity care: the care received and perceptions of women from different ethnic groups
Henderson, J., Gao, H., & Redshaw, M. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-196 · Cited by 184
Self-citationGarcia, J., Evans, J., & Reshaw, M. (2004) · Quality & Quantity · doi:10.1023/b:ququ.0000019394.78970.df · Cited by 168
Holmes, P., Oppenheimer, L. W., & Wen, S. W. (2001) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2003.00265.x · Cited by 150
Fear, pain and stress hormones during childbirth
Alehagen, S., Wijma, B. E., Lundberg, U., & Wijma, K. (2005) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01443610400023072 · Cited by 150
Outcomes of Women Presenting in Active Versus Latent Phase of Spontaneous Labor
Bailit, J. L., Dierker, L. J., Blanchard, M. H., & Mercer, B. M. (2005) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000147843.12196.00 · Cited by 142
Women's experience of induction of labor: a mixed methods study
Henderson, J., & Redshaw, M. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12211 · Cited by 114
Self-citationBat-Erdene, U., Metcalfe, A., McDonald, S., & Tough, S. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-s1-s3 · Cited by 103
Lindquist, A., Kurinczuk, J. J., Redshaw, M., & Knight, M. (2014) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.13059 · Cited by 97
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Research works printed but not linked: 1
- 10.1016/S0306-5456(01)00265-0 · DOI
Cited by
Mothers’ experience of maternity and neonatal care when babies die: A quantitative study
Redshaw, M., & Henderson, J. (2018) · PLOS ONE · doi:10.1371/journal.pone.0208134 · Cited by 16
Self-citationBailey, E. C., Barry, Z., Buabeng, R., Fellows, R. E., Khazaezadeh, N., Rajasingam, D., Silverio, S. A., & Sheen, K. S. (2026) · Women and Birth · doi:10.1016/j.wombi.2026.102171
Metadata
- Authors
- Henderson, J., & Redshaw, M.
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2017-07
- Volume
- 7
- Issue
- 7
- Pages
- e016351
- ISSN
- 2044-6055
- PMC
- PMC5541638
- Cited by
- 16
- References
- 37
- Language
- en
- Funders
- Department of Health
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