To explore women’s experiences regarding the use of intrapartum EBP, identifying barriers, facilitators, and strategies, a qualitative analysis of the open-ended questions was performed. An inductive open-coding analytic process was conducted, with motivated line-by-line reading without previously established categories allowing the researcher to identify events that could become the basis of categorization. A second researcher reviewed all the codes and quotations to validate the codes and make sure coding was consistent through all interviews. Themes and categories emerged from the codes with an agreement between the two researchers. Disagreements were discussed until a consensus was reached. The software used for the qualitative analysis was Atlas.ti version 8.3.1.

Each EBP described by the women was considered a theme, and any reference to those was coded: birth plan, doula support, midwife care, companionship during childbirth, freedom of mobility during labor, choice of position during delivery, and/or use of non-pharmacological methods for pain relief. Forty-five characterizing codes emerged from the open-coding analysis and were grouped into three categories: Outcomes, Barriers, Facilitators/Strategies. Outcomes refer to the group of codes that describe the woman’s perspective of using or not using one or more EBP. Barriers refer to the group of codes that describe barriers a woman identified to using or not using at least one EBP. Facilitators/Strategies refer to the group of codes that describe what elements the women identified as support for the use of EBP. Discourse Analysis was used to support triangulation of analysis, advancing the understanding of women’s experience with intrapartum EBP.

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