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Pereda-Goikoetxea B, Huitzi-Egilegor JX, Uranga-Iturrioz MJ, Mujika A, Elordi-Guenaga U, Elorza-Puyadena MI. Kaleidoscope of emotions in hospital childbirth: A phenomenological study. J Health Psychol 2024; 29:173-185. [PMID: 37727120 DOI: 10.1177/13591053231197911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/21/2023] Open
Abstract
The childbirth process represents a moment of transition in the life of each woman, and is a source of complex and dynamic emotions. The aim of this study was to describe the emotions women experience during hospital childbirth and to determine the conditioning factors. A qualitative prospective study with a phenomenological approach was conducted using semi-structured interviews with 42 women. The negative emotions the women highlighted were fear, anguish, suffering, concern and nervousness, and they were related to factors such as: the evolution of childbirth, the appearance of complications, pain, the doubt about the ability to give birth and poor communication. The positive emotions highlighted were joy, satisfaction, security, confidence and tranquillity, and they were related to the first skin-to-skin contact, effective communication, partner support and participation in decisions. The findings may contribute to the development of policies aimed at achieving the women and newborns' maximum health and life potential.
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Tahara-Sasagawa E, Mochida K, Sadamori T, Suzuki M, Guerrero C, Haruna M, Misago C. Lessons from the "Humanization of Childbirth" Projects: Qualitative analysis of seven projects funded by the Japan International Cooperation Agency. Glob Health Med 2023; 5:301-305. [PMID: 37908509 PMCID: PMC10615027 DOI: 10.35772/ghm.2023.01054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 08/11/2023] [Accepted: 08/24/2023] [Indexed: 11/02/2023]
Abstract
The "Humanization of Childbirth" Project is one of the various maternity care models that respect women and their newborn children. For more than a quarter of a century, the Japan International Cooperation Agency (JICA) has been implementing technical cooperation projects worldwide that place the humanization of childbirth at the center of the concept. By reviewing the project reports, the following 11 key processes were found for the formulation and implementation of future projects for the humanized maternity care: i) project-finding/exploration of unmet needs, ii) identification of local key persons, iii) organization of a project team and a back-up committee, iv) development of an action plan, v) sharing of concepts, vi) development of local leadership, vii) organization of infrastructure, viii) final evaluation and wrap-up seminar, ix) ensuring sustainability, x) development of younger generation experts, and xi) sustainable and autonomous action.
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Affiliation(s)
- Emi Tahara-Sasagawa
- Graduate School of Nursing, Japanese Red Cross College of Nursing, Tokyo, Japan
- Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | | | | | | | | | - Megumi Haruna
- Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Chizuru Misago
- Department of International and Cultural Study, Tsuda University, Tokyo, Japan
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Pope J, Redsell S, Houghton C, Matvienko-Sikar K. Healthcare professionals' experiences and perceptions of providing support for mental health during the period from pregnancy to two years postpartum. Midwifery 2023; 118:103581. [PMID: 36608486 DOI: 10.1016/j.midw.2022.103581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 12/01/2022] [Accepted: 12/20/2022] [Indexed: 12/25/2022]
Abstract
OBJECTIVE Mental health issues in the perinatal period are common, and can have negative consequences for maternal and child health. Healthcare professionals (HCPs) who provide women with perinatal care are well-placed to detect mental health issues and provide support. This study therefore examines HCPs' experiences and perceptions of providing mental health support during the perinatal period, including during the COVID-19 pandemic. DESIGN An exploratory realist qualitative study was conducted. SETTING Republic of Ireland PARTICIPANTS: A purposive sampling strategy was employed to recruit HCPs (e.g., general practitioners, midwives, public health nurses, practice nurses, doulas, and breastfeeding counsellors), via professional bodies in Ireland. An invitation to participate was also circulated via Twitter. A total of 18 HCPs participated in semi-structured interviews conducted between 18/8/2020 and 24/5/2021. MEASUREMENTS AND FINDINGS Semi-structured interviews were conducted according to a topic guide designed by a multidisciplinary team. Data were analysed using thematic analysis. Four themes were developed: 'Supporting women in healthcare settings,' 'Skills and capacity to provide adequate care,' 'Structural barriers to care provision,' and 'The impact of the COVID-19 pandemic on stress support.' KEY CONCLUSIONS HCPs reported providing emotional support and advocacy, but highlighted challenges, including limited capacity to address women's concerns, clinical culture and hierarchy, insufficient organisational investment, and social inequities in support access. Some HCPs felt these barriers could lead to additional psychological harm. HCPs also reported that the pandemic had introduced novel stressors and changed the nature of the mental health support they provided. IMPLICATIONS FOR PRACTICE Interventions incorporating education and physical resources for HCPs, increased investment in specialist perinatal mental health services, increased investment in holistic supports, and changes to address cultural challenges in care environments, may facilitate - or enhance - support for women.
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Affiliation(s)
- Johanna Pope
- School of Public Health, University College Cork, Western Road, Mardyke, Cork, Ireland; School of Nursing and Midwifery, Aras Moyola, University of Galway, Upper Newcastle, Gaillimh, Ireland.
| | - Sarah Redsell
- School of Health Sciences, University of Nottingham, Nottingham NG7 2UH, United Kingdom
| | - Catherine Houghton
- School of Nursing and Midwifery, Aras Moyola, University of Galway, Upper Newcastle, Gaillimh, Ireland
| | - Karen Matvienko-Sikar
- School of Public Health, University College Cork, Western Road, Mardyke, Cork, Ireland
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Analysis of the social acceptability of a humanized childbirth intervention in Senegal: A qualitative study. Women Birth 2023; 36:e93-e98. [PMID: 35523705 DOI: 10.1016/j.wombi.2022.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/21/2022] [Accepted: 04/27/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND In efforts to improve the quality of women's care and enhance related experiences in Senegal, the Senegalese government implemented an intervention named "humanized childbirth" in their health facilities. AIM To analyze the social acceptability of humanized childbirth as well as its relevance given the social values in Senegal. METHODS A multiple-case study was conducted within four health facilities in Dakar. Breastfeeding mothers (n = 20), pregnant women (n = 4), midwives (n = 8), Bajenu Gox (n = 4), members of the Health Development Committee (n = 4), and men from the community (n = 4) were interviewed individually, and a documentary analysis was done. The thematic analysis was performed using the acceptability theoretical framework. FINDINGS The results show that most participants agreed with the idea of humanized childbirth. However, participants display varying viewpoints as to the social acceptability of various components of the intervention. While there is an overall agreement concerning the benefits of motivated and attentive health professionals focused on prevention, restoring dignity for the parturient woman, freedom to eat and drink, massages and relaxation, the same cannot be said about the freedom of choice for birth positions and companionship. DISCUSSION The contrasting viewpoints as to the acceptability of humanized childbirth can be explained by the perception of risk and lack of experience with free birthing positions, as well as structural and cultural barriers surrounding the notion of companionship. CONCLUSION Education and awareness of the benefits of free birthing positions and companionship would be required among Senegalese women to enable a cultural shift in maternity wards in Senegal.
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The voice of memory in hospital birth: A phenomenological study. Midwifery 2023; 116:103531. [PMID: 36343467 DOI: 10.1016/j.midw.2022.103531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 08/03/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To examine the perception of the hospital birth experience in women at 8 weeks and 8 months after the birth and to determine if there have been any changes in that perception. DESIGN This was a prospective qualitative study with a phenomenological approach based on semi-structured, individual and in-depth interviews at 8 weeks and 8 months after childbirth as well as participant's observations. The data were transcribed and analysed thematically using ATLAS.ti 8 software. PARTICIPANTS 43 women participated in the first interview, and 33 of those participated in the second interview. SETTING Donostia University Hospital, Gipuzkoa, Spain, 2016-2017. FINDINGS Two main topics emerged from the data analysis which summarize the women's perception of childbirth: (1) memory allows us to recall the experience of hospital birth in time and space; (2) some moments are specially remembered. In the second topic, three subtopics were distinguished: fondest memory: meeting the newborn for the first time; highlighted positive memories: support from partners and professionals; and the worst memories were marked by feelings of worry and fear. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE In the perception of the birth experience, positive and negative memories remain in intensity and continuity for at least up to 8 months. Their creation and evocation are highly influenced by the emotional experience and the initial visual impact of meeting the newborn for the first time, which constitutes a milestone in women's lives. The emotions experienced in childbirth and during the postpartum period shape the awareness, memory and new identity of being a mother.
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Fabbro MRC, Wernet M, Baraldi NG, de Castro Bussadori JC, Salim NR, Souto BGA, dos Reis Fermiano A. Antenatal care as a risk factor for caesarean section: a case study in Brazil. BMC Pregnancy Childbirth 2022; 22:731. [PMID: 36154888 PMCID: PMC9509577 DOI: 10.1186/s12884-022-05008-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 08/08/2022] [Indexed: 12/03/2022] Open
Abstract
Background Antenatal care is an important tool to prevent complications and decrease the incidence of maternal and antenatal morbidity and mortality. In Brazil, quality, access, and coverage of antenatal care are described as insufficient. Consequently, high rates of caesarean section, congenital morbidities such as syphilis, maternal and early neonatal mortality occur, as well as obstetric violence and dissatisfaction with healthcare. It is important to reflect on health disparities in antenatal care. This study aimed to carry out a critical analysis of antenatal care in one city of São Paulo state in Brazil. Methods A case study was performed, structured in a descriptive cross-sectional epidemiological study and two qualitative studies. Data for the epidemiological study was obtained from the Informatics Department of the Unified Health System (DATASUS) of Brazil, which was processed in the Epi-info v software 7.2. and treated descriptively and by the Mantel–Haenszel or Fisher's exact tests. Qualitative data was collected through semi-structured interviews with 30 pregnant women and 8 nurses in the primary healthcare service of one city in São Paulo. The qualitative data analysis was based on thematic content analysis. Results The data revealed a limited quality of antenatal care. More than six antenatal visits increased the probability of a caesarean section by 47% and babies born vaginally had a lower Apgar score. There was little participation of nurses in antenatal care and women described it as “a quick medical appointment”, limited by protocols, based on procedures and insufficient in dialogue. Antenatal care appeared to be fragmented and permeated by challenges that involve the need for change in management, performance, and ongoing training of professionals, as well as in the guarantee of women’s rights. Conclusions Caesarean section was statistically related to the number of antenatal care visits. Interactions between professionals and pregnant women were poor and resulted in dissatisfaction. There is an urgent need to connect health indicators with the findings from professionals and women’s experiences to improve the quality of antenatal care.
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Martín-Badia J, Obregón-Gutiérrez N, Goberna-Tricas J. Obstetric Violence as an Infringement on Basic Bioethical Principles. Reflections Inspired by Focus Groups with Midwives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312553. [PMID: 34886279 PMCID: PMC8656655 DOI: 10.3390/ijerph182312553] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 11/21/2021] [Accepted: 11/24/2021] [Indexed: 11/22/2022]
Abstract
Background: obstetric violence is still far too invisible; the word “violence” generates rejection and obstetric violence is complex to define and typify, as it is a subjective experience. It has been widely analyzed from legal, sociological, and clinical perspectives, but not equally so from the bioethical point of view. This article sets out to take a more in-depth look at the experiences of midwives in order to describe the ethical perspectives of obstetric violence. We intend to describe the effects that malpractice and violence within obstetric care have on American and European bioethical principles. Methodology: A qualitative methodology of the phenomenological tradition was used: 24 midwives participated in three focus groups. Results and Discussion: four categories were arrived at; they are “the maleficence of forgetting my vulnerability”, “beneficence requires respect for my integrity and dignity”, “my autonomy is being removed from me” and “a problem of social justice towards us, women”. Conclusion: obstetric violence infringes on the main bioethical principles (non-maleficence, beneficence, autonomy, justice, vulnerability, dignity, and integrity). Beyond whether it is called violence or not, what matters from an ethical perspective is that, as long as women have such negative experiences during pregnancy and childbirth, obstetric care needs better humanizing.
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Affiliation(s)
- Júlia Martín-Badia
- Department of Philosophy, University of Barcelona, 08001 Barcelona, Spain;
| | - Noemí Obregón-Gutiérrez
- University Hospital Parc Taulí, Sabadell, 08208 Barcelona, Spain;
- The Nursing Council of Barcelona, 08019 Barcelona, Spain
| | - Josefina Goberna-Tricas
- Department of Public Health, Mental Health and Perinatal Nursing, Faculty of Medicine and Health Sciences, ADHUC–Research Center for Theory, Gender and Sexuality, University of Barcelona, 08907 Barcelona, Spain
- Correspondence: ; Tel.: +34-934021068
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Apolônio FR, Pontes CM, Perrelli JGA, Sousa SDMAD, Mendes RCMG, Mangueira SDO, Linhares FMP. Content validity of the nursing diagnosis powerlessness in women during natural childbirth. Rev Esc Enferm USP 2021; 55:e20210198. [PMID: 34662369 DOI: 10.1590/1980-220x-reeusp-2021-0198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 08/31/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To validate the content of the nursing diagnosis powerlessness in women during natural childbirth. METHOD A nursing diagnosis content validation, in which 29 experts analyzed the definition of powerlessness and assessed the relevance of related factors, populations at risk, associated conditions and defining characteristics. These elements were considered relevant when the Content Validity Index was greater than or equal to 0.9. RESULTS Experts considered the definition resulting from the concept analysis more appropriate for the diagnosis under study. Regarding the assessment of diagnostic elements, 10 related factors, two populations at risk, three associated conditions and 10 defining characteristics were considered relevant. CONCLUSION The new definition for powerlessness and 25 elements have been validated by experts. These can support the operationalization of the Nursing Process for parturient women.
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Affiliation(s)
- Fernanda Rocha Apolônio
- Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Recife, PE, Brazil
| | - Cleide Maria Pontes
- Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Recife, PE, Brazil
| | | | - Santana de Maria Alves de Sousa
- Universidade Federal do Maranhão, Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Enfermagem, São Luís, MA, Brazil
| | | | - Suzana de Oliveira Mangueira
- Universidade Federal de Pernambuco, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Recife, PE, Brazil
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Goldkuhl L, Dellenborg L, Berg M, Wijk H, Nilsson C. The influence and meaning of the birth environment for nulliparous women at a hospital-based labour ward in Sweden: An ethnographic study. Women Birth 2021; 35:e337-e347. [PMID: 34321183 DOI: 10.1016/j.wombi.2021.07.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 06/18/2021] [Accepted: 07/20/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Labour and birth are sensitive physiological processes substantially influenced by environmental and psychosocial factors. AIM To explore the influence and meaning of the birth environment for nulliparous women giving birth in either one of two differently designed birthing rooms at a hospital-based labour ward. METHODS Five months of ethnographic fieldwork was conducted at a labour ward in Sweden, consisting of participant observations of 16 nulliparous women giving birth in either a 'Regular' birthing room (n = 8) or a specially designed, 'New room' (n = 8). Data included field notes, informal interviews, reflective notes, and individual interviews with eight women after birth. The data was analysed through an ethnographic iterative hermeneutic analysis process. FINDINGS The analysis identified the birth environment as consisting of the physical space, the human interaction within it, and the institutional context. The analytic concept; Birth Manual was conceived as an instrument for managing labour in accordance with institutional authority. Significant to the interpretation of the influence and meaning of the birth environment were two abstract rooms: an Institutional room, where birth was approached as a critical event, designating birthing women as passive; and a Personal room, where birth was approached as a physiological event in which women's agency was facilitated. CONCLUSION Institutional authority permeated the atmosphere within the birth environment, irrespective of the design of the room. A power imbalance between institutional demands and birthing women's needs was identified, emphasising the vital role the birth philosophy plays in creating safe birth environments that increase women's sense of agency.
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Affiliation(s)
- Lisa Goldkuhl
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
| | - Lisen Dellenborg
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Marie Berg
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Obstetrics and Gynaecology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden
| | - Helle Wijk
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Quality Assurance and Patient Safety, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden; Department of Architecture and Civil Engineering, Building Design, Chalmers University of Technology, Gothenburg, Sweden
| | - Christina Nilsson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
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Curtin M, Savage E, Murphy M, Leahy-Warren P. A meta-synthesis of the perspectives and experiences of healthcare professionals on the humanisation of childbirth using a meta-ethnographic approach. Women Birth 2021; 35:e369-e378. [PMID: 34274257 DOI: 10.1016/j.wombi.2021.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 07/03/2021] [Accepted: 07/05/2021] [Indexed: 11/25/2022]
Abstract
PROBLEM The humanisation of childbirth has been identified as a practice of care focusing on the physical, psychological, and emotional wellbeing of women. Healthcare professionals (HCPs) are expected to understand and embed humanised practice when supporting women in childbirth. AIM The aim of this paper is to present a meta-synthesis of the experiences and perspectives of HCPs who undertake care for women at the time of birth regarding the humanisation of childbirth. METHODS A systematic search of the electronic databases CINAHL, Medline, PsycINFO, and SocINDEX were conducted in July 2020. Qualitative studies exploring HCPs' experiences and perspectives of humanisation in childbirth were eligible. Studies were synthesised using a meta-ethnographic approach. FINDINGS Fourteen studies involving 197 participants were included. Two themes were identified: 'Women at the centre' and 'Professional dissonance'. Two line of argument synthesis were identified: 'invisible boundaries' and 'unconscious undermining'. DISCUSSION HCPs recognised that women required positive interactions which met both their emotional and physical needs. Human touch supported bonding between HCPs and women. HCPs understood humanisation as the reduction of unnecessary intervention and/or technology but had difficulties enacting this and often used disempowering language when discussing women's choices. The management of pain and the presence of a companion were considered important by HCPs. CONCLUSION This synthesis revealed that HCPs do understand the humanisation of childbirth but have difficulties in enacting it in practice. Women classified as high risk were identified as having specific needs such as increased emotional support. Further research is required for women classified as high risk who may require technology and/or interventions to maintain a safe birth.
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Affiliation(s)
- Mary Curtin
- School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland; School of Nursing and Midwifery, University College Cork, Ireland.
| | - Eileen Savage
- School of Nursing and Midwifery, University College Cork, Ireland. https://twitter.com/@EileenSavage20
| | - Margaret Murphy
- School of Nursing and Midwifery, University College Cork, Ireland. https://twitter.com/@mgtmurphy123
| | - Patricia Leahy-Warren
- School of Nursing and Midwifery, University College Cork, Ireland. https://twitter.com/@pleahy_w
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González-Mesa E, Cazorla-Granados O, Blasco-Alonso M, Sabonet L, Jiménez-López JS, Rengel-Díaz C. Educating future professionals in perinatal medicine: the attitude of medical and nursing students towards childbirth. J Perinat Med 2021; 49:485-495. [PMID: 33554590 DOI: 10.1515/jpm-2020-0395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/02/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The main objective of the present study was to evaluate what educational needs were being neglected in current perinatal educational program in the University of Malaga. METHODS We performed a cross-sectional study using the Students' questionnaire on attitudes towards childbirth (CAVE-st) in a sample of 378 students who were finishing their undergraduate or postgraduate academic perinatal program, including medical and nursing students. RESULTS The Cronbach's alpha reliability coefficient was 0.895. The mean score of CAVE-st in the sample was 200.34 (DT 21.0). The scores were below the median value in more than 53% of the students, especially in medical students. Female students scored systematically higher in the overall scale and its subscales, even after adjusting for study groups. On the other hand, the students with children scored significantly lower in the subscale that explored their attitudes towards unexpected results. A huge margin for improvement was recognizable in those subscales related with childbirth medicalization, respect to women decisions, and health-care prioritization. CONCLUSIONS Students' attitude towards childbirth need to be improved as a means to improve women's childbirth experience and prevent birth-related trauma. The current undergraduate and postgraduate training in perinatal care lacks a comprehensive and biopsychosocial perspective that would improve the quality of clinical practice during childbirth.
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Affiliation(s)
- Ernesto González-Mesa
- Obstetrics and Gynecology Department, School of Medicine, University of Malaga, Malaga, Spain.,Obstetrics and Gynecology Department, Malaga Regional University Hospital, Malaga, Spain.,IBIMA Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, Malaga, Spain
| | - Olga Cazorla-Granados
- Obstetrics and Gynecology Department, School of Medicine, University of Malaga, Malaga, Spain
| | - Marta Blasco-Alonso
- Obstetrics and Gynecology Department, School of Medicine, University of Malaga, Malaga, Spain.,Obstetrics and Gynecology Department, Malaga Regional University Hospital, Malaga, Spain.,IBIMA Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, Malaga, Spain
| | - Lorena Sabonet
- Obstetrics and Gynecology Department, Malaga Regional University Hospital, Malaga, Spain.,IBIMA Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, Malaga, Spain
| | - Jesús S Jiménez-López
- Obstetrics and Gynecology Department, School of Medicine, University of Malaga, Malaga, Spain.,Obstetrics and Gynecology Department, Malaga Regional University Hospital, Malaga, Spain.,IBIMA Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, Malaga, Spain
| | - Cristóbal Rengel-Díaz
- IBIMA Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, Malaga, Spain.,Obstetrics and Gynecology Department, Ntra Sra de la Victoria University Hospital, Malaga, Spain.,Nursing Department, School of Health Sciences, University of Malaga, Malaga, Spain
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Melo PSA, Andrade PDON, Vasconcelos RL, Oliveira SCD, Mendes RCMG, Linhares FMP. VALIDATION OF THE KNOWLEDGE, ATTITUDE AND PRACTICE SURVEY ON NURSING ASSISTANCE DURING DELIVERY AND CHILDBIRTH. TEXTO & CONTEXTO ENFERMAGEM 2021. [DOI: 10.1590/1980-265x-tce-2020-0420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to validate the Knowledge, Attitude and Practice survey on Nursing assistance during delivery and childbirth based on the concepts of Florence Nightingale's Environmental Theory and the recommendations of the National Guidelines for Assistance to Normal Delivery. Method: this is a methodological study in which the Knowledge, Attitude and Practice survey was elaborated, and validated regarding content and appearance. Data collection was carried out between the months of July and December 2017. The validations were performed by 22 nurses who work in delivery and childbirth care and the data were analyzed using the Content Validity Index and the Binomial test. Results: content and face validation evidenced that the agreement among the experts was satisfactory (Content Validity Index greater than 0.80 for all items evaluated). Conclusion: it is concluded that the survey can be used to assess the nurses' Knowledge, Attitude and Practice in relation to the Nursing assistance provided during delivery and childbirth.
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