Document Type




Format of Original

11 p.

Publication Date



Blackwell Publishing

Source Publication

Journal of Obstetric, Gynecologic & Neonatal Nursing

Source ISSN


Original Item ID

doi: 10.1111/j.1552-6909.2002.tb00024.x


Objective: To describe expectant women's experiences with the onset of preterm labor.

Design: Qualitative, using grounded theory methods.

Setting: Southwestern tertiary women's hospital.

Participants: Thirty pregnant women who were less than 35 weeks gestation, had experienced preterm labor within the past 7 days, and had no previous experience with preterm labor.

Data Source: Taped and transcribed interviews.

Results: Themes that emerged from the interview data included the following: recognition and naming of sensations, a consistent pattern of attribution of symptoms, the threat or risk inferred by the attributed cause of the symptom pattern, the associated certainty or uncertainty about these attributions, the process of interpreting and verifying symptom meaning, and the decision to self-manage the symptoms or engage health care assistance. The core process of women experiencing the onset of preterm labor symptoms was identified as "resolving the uncertainty of preterm labor symptoms: recognizing and responding to the possibilities."

Conclusions: Preterm labor often is not within expectant women's consciousness. They may attribute the symptoms to nonthreatening causes, which results in delays in seeking care for preterm labor. Education about symptom patterns at the onset of preterm labor will increase the probability that women and their health care providers will recognize and interpret the early, subtle symptoms that herald the onset of preterm labor. Uncertainty in illness theory and attribution theory offer frameworks for understanding women's experiences with the onset of preterm labor.


Accepted version. Journal of Obstetric, Gynecologic, & Neonatal Nursing, Vol. 31, No. 1 (January 2002): 66-76. DOI. © 2002 Blackwell Publishing. Used with permission.

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