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Secondly, women reflected on how decisions had been made regarding pain management in labour and the degree to which they had felt comfortable making these decisions.
The interpretation of the interviews was shaped by the researcher's own experiences and understanding of pain and its management in labour.
The mother was firstly asked about her management in labour and secondly she was asked to complete a retrospective self-assessment of her health before and after childbirth.
Difficulties for women began to emerge during pregnancy when healthcare professionals encouraged them to make early decisions about pain management in labour.
Secondly, women reflected upon how decisions had been made regarding pain management in labour and the degree to which they had felt comfortable making these decisions.
However, the data from this study regarding women's lack of understanding of pain and its management in labour imply that the way in which the information is currently being delivered in antenatal classes is not effective.
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Currently, there is a paucity of research about paramedics' management of women in labour.
Further research into paramedics' management of women in labour is recommended, particularly the establishment of a minimum dataset.
This work involves the development of a decision aid for the management of pain in labour and childbirth.
The management of pain in labour is a clinical decision that fulfils Eddy's criteria for a decision in which patients' values and preferences should be included [ 2].
Although it is generally accepted that paramedics attend unexpected births, there is a paucity of literature about their management of women in labour.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com