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Journey through labor: Navigating the psychosocial and spiritual depths of palliative care

Published online by Cambridge University Press:  02 May 2024

Rizky Andana Pohan*
Affiliation:
Department of Islamic Guidance and Counseling, Institut Agama Islam Negeri Langsa, Aceh, Indonesia
Ririn Dwi Astuti
Affiliation:
Department of Biology Education, Yayasan Potret Indonesia Sejahtera, Langsa, Indonesia
*
Corresponding author: Rizky Andana Pohan; Email: [email protected]
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Abstract

Type
Essay/Personal Reflection
Copyright
© The Author(s), 2024. Published by Cambridge University Press.

The journey of childbirth is often portrayed as a euphoric experience, brimming with anticipation and jubilation. Yet, for countless families, this odyssey of ushering a new life into the world is punctuated with a tapestry of emotions uncertainty, trepidation, and anguish. In the autumn of 2021, my wife and I found ourselves entwined in the labyrinth of childbirth, grappling with the multifaceted dimensions of psychosocial, spiritual, existential, ethical, and philosophical quandaries as we awaited the arrival of our second child.

As the anticipated hour of birth drew near, the obstetrician’s prognostications cast a looming shadow over us, ushering forth a tumultuous tide of emotions and trials. Despite the initial projections, days bled into nights without any semblance of labor, leaving us suspended in a state of limbo, oscillating between hope and apprehension. The palpable weight of uncertainty bore down upon our souls, compelling us to seek solace and counsel from the arms of medical professionals.

Amidst this gestational interlude, our psychosocial equilibrium teetered on the precipice of fragility as we grappled with the specter of the unknown. Each passing day ushered forth a cacophony of emotions, ranging from fervent anticipation to gnawing apprehension. As partners, we found refuge in each other’s embrace, drawing strength from our shared journey and collective resilience. Through the crucible of adversity, our bond burgeoned, underscoring the indispensable role of emotional sustenance within the realm of palliative care (Zulueta Egea et al. Reference Zulueta Egea, Prieto-Ursúa and Bermejo Toro2023).

In moments of anguish and travail, spirituality emerged as an unwavering beacon, bestowing upon us a mantle of solace and fortitude. Through fervent prayer and introspection, we sought refuge in our faith, entrusting our fates to a higher power amidst the tempest of childbirth (Simonovich et al. Reference Simonovich, Quad and Kanji2022). The melodic recitation of sacred verses and supplications became a balm for our souls, bestowing moments of serenity amidst the tumult of labor pangs (Kocak et al. Reference Kocak, Göçen and Akin2022).

Existentially, the crucible of childbirth compelled us to confront the ephemeral nature of life and the inexorable march of suffering. As we bore witness to the corporeal and emotional toll of labor upon my beloved wife, we were rudely awakened to the transitory essence of human existence and the inherent tribulations that accompany it. In the crucible of adversity, we grappled with existential quandaries, pondering the overarching purpose and meaning imbued within the throes of childbirth (Innab et al. Reference Innab, Al-khunaizi and Al-otaibi2023).

Ethically, we navigated a labyrinthine maze of moral quandaries, contending with the weighty decisions surrounding the management of labor and delivery. As the specter of a cesarean section loomed large on the horizon, we deliberated earnestly upon the optimal course of action for the well-being of both mother and child. Our interactions with health-care practitioners underscored the paramount importance of patient autonomy and informed consent within the purview of palliative care, illuminating the ethical complexities inherent in the birthing process (Enzinger et al. Reference Enzinger, Wind and Frank2017).

Philosophically, the crucible of childbirth prompted us to contemplate the intricate tapestry of life, death, and the interstitial spaces between. As we welcomed our newborn son into the world, we were reminded of the cyclical rhythms of existence, wherein moments of travail and anguish are interwoven with epochs of joy and celebration. Our sojourn through the crucible of childbirth served as a poignant testament to the fragile yet resplendent tapestry of life, engendering within us a newfound appreciation for the sanctity of parenthood (Noortyani et al. Reference Noortyani, Mu’in and Munawwarah2023; Yusuf et al. Reference Yusuf, Yusuf and Usman2023).

As we embarked upon the voyage of parenthood anew, armed with the lessons gleaned from our odyssey, we were suffused with an ineffable sense of gratitude and resolve (Pohan Reference Pohan2024). Through the crucible of childbirth, we emerged fortified and imbued with a steely resolve, poised to embrace the trials and triumphs that lay ahead. With the guiding principles of palliative care serving as our lodestar, we embarked upon a journey suffused with hope, love, and boundless possibilities.

Funding

Beasiswa Indonesia Bangkit, Ministry of Religious Affairs & Lembaga Pengelola Dana Pendidikan (LPDP), Ministry of Finance, Republic of Indonesia, ID number: BU04-231-0000093.

Competing interests

The authors declare no conflict of interest in this paper.

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