Abstract：
BACKGROUND: It is common for women to explore and plan strategies to cope during labour. These strategies are usually focused on pain control and described as either pharmacological or non-pharmacological. As labour is an individual experience, each woman should be enabled to choose strategies that best suit them, and that reflect what they feel influences their sense of capacity to cope.
OBJECTIVE: By exploring women\'s intentions and choices of strategies, this study aimed to understand how coping strategies can better reflect women\'s individual needs and expectations.
METHODS: Fifty-six primiparous women were recruited from one tertiary hospital in Melbourne, Australia between February and May 2021. Data were collected via a survey in late pregnancy using open-ended questions. Content and thematic analyses were used to analyse responses.
RESULTS: Themes related to how women frame the intensity of labour, how they strive for a relationally safe environment and a need to be prepared and knowledgeable. Strategies chosen by women could be grouped into two categories: intrinsic and extrinsic. Intrinsic strategies could be self-generated by women (such as breathing techniques and movement), while extrinsic strategies required either equipment (such as a bath) or others to administer (such as epidural analgesia).
CONCLUSIONS: Women value having a range of intrinsic and extrinsic strategies that enable autonomy or require external support. This moves beyond the \'pharmacological and non-pharmacological\' categorisation of strategies, and we propose that reframing strategies as intrinsic and extrinsic could have a number of benefits on women\'s sense of autonomy and utilisation of strategies. The findings provide a foundation for more targeted research into how women can be supported to individualise and implement these coping strategies in labour.
OBJECTIVE: By exploring women\'s intentions and choices of strategies, this study aimed to understand how coping strategies can better reflect women\'s individual needs and expectations.
METHODS: Fifty-six primiparous women were recruited from one tertiary hospital in Melbourne, Australia between February and May 2021. Data were collected via a survey in late pregnancy using open-ended questions. Content and thematic analyses were used to analyse responses.
RESULTS: Themes related to how women frame the intensity of labour, how they strive for a relationally safe environment and a need to be prepared and knowledgeable. Strategies chosen by women could be grouped into two categories: intrinsic and extrinsic. Intrinsic strategies could be self-generated by women (such as breathing techniques and movement), while extrinsic strategies required either equipment (such as a bath) or others to administer (such as epidural analgesia).
CONCLUSIONS: Women value having a range of intrinsic and extrinsic strategies that enable autonomy or require external support. This moves beyond the \'pharmacological and non-pharmacological\' categorisation of strategies, and we propose that reframing strategies as intrinsic and extrinsic could have a number of benefits on women\'s sense of autonomy and utilisation of strategies. The findings provide a foundation for more targeted research into how women can be supported to individualise and implement these coping strategies in labour.
摘要：
背景：妇女在分娩过程中探索和计划应对策略是很常见的。这些策略通常集中在疼痛控制上，并被描述为药理学或非药理学。因为劳动是一种个人经验，每个女人都应该能够选择最适合自己的策略，这反映了他们的感受影响了他们的应对能力。
目的：通过探索女性的意图和策略选择，本研究旨在了解应对策略如何更好地反映女性的个人需求和期望。
方法：从墨尔本一家三级医院招募56名初产妇，2021年2月至5月之间的澳大利亚。数据是通过使用开放式问题在怀孕后期进行的调查收集的。使用内容和主题分析来分析答复。
结果：与女性如何构建劳动强度有关的主题，他们如何争取一个关系安全的环境，以及需要做好准备和知识渊博。妇女选择的策略可以分为两类：内在和外在。内在策略可以由女性自我生成（例如呼吸技术和运动），而外部策略需要设备（例如浴缸）或其他药物（例如硬膜外镇痛）。
结论：女性重视拥有一系列内在和外在策略，以实现自主性或需要外部支持。这超出了“药理学和非药理学”策略的分类，我们建议，将战略重新定义为内在和外在的，可以对妇女的自主意识和战略的利用有许多好处。这些发现为更有针对性的研究提供了基础，研究如何支持妇女在劳动中个性化和实施这些应对策略。
目的：通过探索女性的意图和策略选择，本研究旨在了解应对策略如何更好地反映女性的个人需求和期望。
方法：从墨尔本一家三级医院招募56名初产妇，2021年2月至5月之间的澳大利亚。数据是通过使用开放式问题在怀孕后期进行的调查收集的。使用内容和主题分析来分析答复。
结果：与女性如何构建劳动强度有关的主题，他们如何争取一个关系安全的环境，以及需要做好准备和知识渊博。妇女选择的策略可以分为两类：内在和外在。内在策略可以由女性自我生成（例如呼吸技术和运动），而外部策略需要设备（例如浴缸）或其他药物（例如硬膜外镇痛）。
结论：女性重视拥有一系列内在和外在策略，以实现自主性或需要外部支持。这超出了“药理学和非药理学”策略的分类，我们建议，将战略重新定义为内在和外在的，可以对妇女的自主意识和战略的利用有许多好处。这些发现为更有针对性的研究提供了基础，研究如何支持妇女在劳动中个性化和实施这些应对策略。
