BACKGROUND:
Early labour is defined as the time from the onset of uterine contractions resulting in progressive effacement and dilation of the cervix up until the start of the active phase. Admission to hospital in early labour is associated with increased risk of caesarean section and birthing parents are often advised to stay at home during this phase. However, birthing parents frequently report high levels of anxiety and need for reassurance during early labour.

OBJECTIVES:
This study aimed to gain a deeper understanding of Ontario midwifery client’s experiences in early labour and how midwives can best support their clients during this time.

METHODS:
Three focus groups, one in-person and two virtual, were conducted with fourteen Ontario midwifery clients. The discussions were transcribed, coded and themes were developed and refined in an iterative process using thematic qualitative analysis.

RESULTS:
Four key themes emerged from our analysis: client’s uncertainty in early labour, the desire for clear communication, the importance of the midwife/client relationship, and the value of having a variety of coping mechanisms available.

CONCLUSIONS:
Birthing parents emphasized their desire for information and clear communication throughout early labour. A trusting relationship with their midwife was a key factor in a positive birth experience. Birthing parents also reported valuing access to different coping mechanisms to utilize during early labour.

KEY MESSAGE:
Though early labour can be a time of great uncertainty for birthing parents, a strong relationship with their midwife, having tools for coping available, and clear communication facilitate a positive experience in early labour. This project received ethics approval from the Community Research Ethics Office, and I have no conflicts of interest to declare. Poster session 3 (Group B)