Background: Pregnancy and labour are defining moments in the lives of women. While these are joyful moments for many, some physical and psychological issues have been reported during labour and pregnancy. This study was conducted to explore the coping experiences of Nigerian women during pregnancy and labour.
Methods: This is an exploratory qualitative study using the content analysis. The study was conducted from November 2021 to January 2022 in Ekiti State and Federal Capital Territory, Nigeria. In-depth interviews were conducted with 30 women selected using the purposive sampling technique. Data collection was stopped when we reached data saturation. Data were analyzed through content analysis using the NVIVO software version 12.
Results: Two themes emerged from the study including coping strategies during pregnancy and trying to endure labour pain. The theme, coping strategies utilized during pregnancy, included obtaining the relatives’ experiences, seeking information, religious practices, and engaging in exercise. The theme, trying to endure labour pain, consisted of exercising for pain relief, relying on God, Positive imagination, giving psychological support, and behaving according to the accepted cultural beliefs.
Conclusion: Findings suggested that women utilized many non-pharmacological methods for coping. Interventions to support women during pregnancy and labour should consider these strategies during planning and implementation. |
- Ceprnja D, Chipchase L, Liamputtong P, Gupta A. “This is hard to cope with”: the lived experience and coping strategies adopted amongst Australian women with pelvic girdle pain in pregnancy. BMC Pregnancy and Childbirth. 2022;22:96.
- Tola YO, Akingbade O, Akinwaare MO, et al. Psychoeducation for psychological issues and birth preparedness in low- and middle-income countries: a systematic review. AJOG Global Reports. 2022;2:100072.
- Akadri AA, Odelola OI. Labour pain perception: experiences of Nigerian mothers. The Pan African Medical Journal. 2018;30:288.
- Farias DR, Pereira Pinto TdJ, Teofilo MMA, et al. Prevalence of psychiatric disorders in the first trimester of pregnancy and factors associated with current suicide risk. Psychiatry Research. 2013;210:962-8.
- Kamali S, Ahmadian L, Khajouei R, Bahaadinbeigy K. Health information needs of pregnant women: information sources, motives and barriers. Health Information and Libraries Journal. 2018;35:24-37.
- Alirezaei S, Latifnejad Roudsari R. The Needs of Incarcerated Pregnant Women: A Systematic Review of Literature. International Journal of Community Based Nursing and Midwifery. 2022;10:2-17.
- Iravani M, Zarean E, Janghorbani M, Bahrami M. Women’s needs and expectations during normal labor and delivery. Journal of Education and Health Promotion. 2015;4:6.
- Younes RE, Mohamad Eid S, Shalaby NS, Heeba MF. Supportive care provided by companion during childbirth and it’s effect on labor progress and maternal satisfaction. Port Said Scientific Journal of Nursing. 2020;7:218-43.
- Aziato L, Acheampong AK, Umoar KL. Labour pain experiences and perceptions: a qualitative study among post-partum women in Ghana. BMC Pregnancy and Childbirth. 2017;17:73.
- Bohren MA, Vogel JP, Tunçalp Ö, et al. Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers. Reproductive Health. 2017;14:9.
- Guardino CM, Schetter CD. Coping during pregnancy: a systematic review and recommendations. Health Psychology Review. 2014;8:70-94.
- Tola YO, Iloba NG, Chow KM. Perception of music and its cultural elements on acute post-mastectomy pain management among Nigerian women: an exploratory qualitative study. Supportive Care in Cancer. 2022;30:2527-35.
- Chilee OA, Olukemi Eme A, Eunice UP. Postnatal Women’s labour pain experiences in Niger delta region of Nigeria: a qualitative study. African Journal of Health, Nursing and Midwifery. 2020;3:103-12.
- Bengtsson M. How to plan and perform a qualitative study using content analysis. Nursing Plus Open. 2016;2:8-14.
- Cypress BS. Rigor or Reliability and Validity in Qualitative Research: Perspectives, Strategies, Reconceptualization, and Recommendations. Dimensions of Critical Care Nursing. 2017;36:253-63.
- Shenton, AK. Strategies for ensuring trustworthiness in qualitative research projects. Education for Information. 2004;22:63-75.
- World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310:2191-4.
- Howarth AM, Swain NR. Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers. Midwifery. 2019;70:100-5.
- Ibrahim SM, Nicoloro-SantaBarbara J, Auerbach MV, et al. Pregnancy-specific coping and changes in emotional distress from mid-to late pregnancy. Journal of Reproductive and Infant Psychology. 2019;37:397-412.
- Heim MA, Miquelutti MA, Makuch MY. Perspective of pregnant women regarding antenatal preparation: A qualitative study. Women and Birth. 2019;32:558-63.
- Rowther AA, Kazi AK, Nazir H, et al. “A Woman Is a Puppet.” Women’s Disempowerment and Prenatal Anxiety in Pakistan: A Qualitative Study of Sources, Mitigators, and Coping Strategies for Anxiety in Pregnancy. International Journal of Environmental Research and Public Health. 2020;17:4926.
- Odetola TD, Ayamolowo LB, Ayamolowo SJ. Childbearing women’s perception about the use of mhealth for maternal health information in rural communities, Ile-Ife, Nigeria. Journal of the International Society for Telemedicine and EHealth. 2018;6:1-6.
- Akingbade O, Nguyen KT, Chow KM. Effect of mHealth interventions on psychological issues experienced by women undergoing chemotherapy for breast cancer: A systematic review and meta-analysis. Journal of Clinical Nursing. 2022. [Online]. doi: 10.1111/jocn.16533
- Akingbade O, Adediran V, Somoye IE, et al. Perceived feasibility and usefulness of mHealth interventions for psychoeducational support among Nigerian women receiving chemotherapy for breast cancer: a focus group study. Supportive Care in Cancer. 2022;30:9723-34
- Ohaja M, Murphy-Lawless J, Dunlea M. Religion and Spirituality in Pregnancy and Birth: The Views of Birth Practitioners in Southeast Nigeria. Religions. 2019;10:82
- Okeke CO, Ibenwa CN, Okeke GT. Conflicts Between African Traditional Religion and Christianity in Eastern Nigeria: The Igbo Example. Sage Open. 2017;7(2).
- Hosseini TM, Keramat A, Kolahdozan S, et al. Positive childbirth experience: A qualitative study. Nursing Open. 2020;7:1233-8.
- Ibitoye OF, Phetlhu DR. Women and Continuous Labour Support in Public Health Facilities in Nigeria. Africa Journal of Nursing and Midwifery. 2018;20:15.
- Okafor UB, Goon DT. Physical activity and exercise during pregnancy in Africa: a review of the literature. BMC Pregnancy and Childbirth. 2020;20:732.
- Whitburn LY, Jones LE, Davey MA, Small R. The meaning of labour pain: how the social environment and other contextual factors shape women’s experiences. BMC Pregnancy and Childbirth. 2017;17:157.
- Esan DT, Muhammad F, Ihueze AT, et al. Cultural myths on the use of analgesia in labor: A cross-sectional study in Nigerian women. Enfermería Clínica. 2022;32:326-33.
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