The Evaluation Of Women's Birth Experiences in Accordance With Respective Maternal Care: A Qualitative Research
Abstract
Objective: The aim of the study was to evaluate the birth experiences of women in the context of respectful maternity care during the birth process.
Method: The research was qualitatively conducted with women who had experienced normal birth and who came to the gynecology and obstetrics unit of a public hospital in the south of our country for care and treatment between June and August 2022. The sample number was determined by criterion-based sampling, which is one of the purposive sampling types, and the saturation point was reached with 20 women. The data were collected by conducting in-depth interviews with a questionnaire prepared by the researchers. Content analysis method was used in the analysis of the data.
Results: The data obtained were gathered under three main themes. In these themes, women's definitions of respectful maternity care, birth experiences in line with respectful maternity care and suggestions for developing respectful maternity care were determined. Most of the women stated that respectful maternity care was not complete in their birth experiences, and their negative experiences were mostly discrimination, not being able to take the comfortable position, indifferent approach, using harsh/offensive words, not allowing the birth attendant, not asking permission for the procedures.
Conclusion: With this study, it was determined that women had negative experiences in terms of both care support and communication within the scope of respectful maternity care during the birth process. In this direction, to improve the quality of respectful maternity care; It is recommended that the subject be dealt with intensively in health professional education curricula and in-service training programs of health institutions, and respectful maternity care clinical and supervision guidelines should be established.
References
- World Health Organization reproductive health library. WHO recommendation on effective communication between maternity care providers and women in labor. Geneva, Switzerland: World Health Organization 2018.
- Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis. USAID-Traction Project 2010.
- Respectful Maternity Care Advisory Council. White Ribbon Alliance for Safe Motherhood (WRA). Respectful maternity care: the universal rights of childbearing women. Washington DC 2011.
- World Health Organization. WHO Statement: The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva 2014.
- Rosen HE, Lynam PF, Carr C, Reis V, Ricca J, Bazant ES, Bartlett LA. Direct observation of respectful maternity care in five countries: a cross-sectional study of health facilities in East and Southern Africa. BMC pregnancy and childbirth. 2015; 15(1): 1-11.
- Miller S, Abalos E, Chamillard M, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet. 2016; 388: 2176–92.
- Ndwiga C, Warren CE, Ritter J, Sripad P, Abuya T. Exploring provider perspectives on respectful maternity care in Kenya:“work with what you have”. Reproductive health. 2017; 14(1): 1-13.
- Shakibazadeh E, Namadian M, Bohren M, Vogel JP, Rashidian A, Nogueira Pileggi V, et al. Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG. 2018; 125(8): 932–942.
- International Confederation of Midwives (ICM). Philosophy and model of midwifery care 2014. https://internationalmidwives.org/assets/files/definitions-files/2018/ 06/eng-philosophy-and-model-of-midwifery-care.pdf. (Erişim Tarihi: 30 Kasım 2022)
- Mengistu B, Alemu H, Kassa M, Zelalem M, Abate M, Bitewulign B, ... Magge H. An innovative intervention to improve respectful maternity care in three Districts in Ethiopia. BMC pregnancy and childbirth. 2021; 21(1): 1-10.
- Yıldırım A, Şimşek H. Sosyal bilimlerde nitel araştırma yöntemleri. 5. Baskı. Ankara: Seçkin Yayınları; 2005. p. 49-91.
- Erdoğan S. Nitel araştırmalar. İçinde Hemşirelikte araştırma süreç, uygulama ve kritik. 1.Baskı. İstanbul: Nobel Tıp Kitapevi; 2015. p. 131-164.
- Karataş Z. Sosyal bilimlerde nitel araştırma yöntemleri. Manevi Temelli Sosyal Hizmet Araştırmaları Dergisi. 2015; 1(1): 62-80.
- Günbayı İ, Akcan F. İlköğretim kurumları yöneticilerinin yaşadıkları iş streslerine ilişkin görüşleri: Bir durum çalışması. Öğretmen Eğitimi ve Eğitimcileri Dergisi. 2013; 2(2): 195-224.
- Tekindal M, Özden SA, Gedik TE, Ege A, Erim F, Tekindal MA. Nitel Araştırmaların Raporlanmasında Standartlar: SRQR Kontrol Listesinin Türkçe Uyarlaması. OPUS International Journal of Society Researches. 2021; 18(42): 5425-5443.
- O’Brien TD, Noyes J, Spencer LH, Kubis HP, Hastings RP, Edwards RT, Whitaker R. “Keep fit” exercise interventions to improve health, fitness and well-being of children and young people who use wheelchairs: mixed-method systematic review protocol. Journal of Advanced Nursing. 2014; 70(12): 2942-2951.
- Moridi M, Pazandeh F, Hajian S, Potrata B. Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One. 2020; 15(3): e0229941.
- Iravani M, Zarean E, Janghorbani M, Bahrami M. Women’s needs and expectations during normal labor and delivery. J Educ Health Promot. 2015; 4:(6).
- Oladapo OT, Bohren MA, Fawole B, Mugerwa K, Ojelade OA, Titiloye MA, et al. Negotiating quality standards for effective delivery of labor and childbirth care in Nigeria and Uganda. Int J Gynaecol Obstet. 2017; 139: 47–55.
- Aktaş Reyhan F, Dağlı E. Öğrenci Ebelerin Doğum Sürecinde “Saygılı Annelik Bakımına” İlişkin Görüşleri: Nitel Bir Araştırma. Ankara Sağlık Bilimleri Dergisi. 2022; 11(1): 96-105.
- Bohren MA, Mehrtash H, Fawole B, Maung TM, Balde MD, Maya E, ... Tunçalp Ö. How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. The Lancet. 2019; 394(10210): 1750-1763.
- Burrowes S, Holcombe SJ, Jara D, Carter D, Smith K. Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC pregnancy and childbirth. 2017; 17(1): 1-14.
- Reed R, Sharman R, Inglis C. Women’s descriptions of childbirth trauma relating to care provider actions and interactions. BMC Pregnancy and Childbirth. 2017; 17(21): 1.
- Deki S, Wangmo K. Women’s Views and Experience of Respectful Maternity Care While Delivering in three Regional Referral Hospitals of Bhutan. Amarjeet Kaur Sandhu. 2020; 12(2): 2134.
- Oliveira VJ, Penna CMDM. Discussing obstetric violence through the voices of women and health professionals. Texto & Contexto-Enfermagem. 2017; 26.
- Dikmen-Yildiz P, Ayers S, Phillips L. Factors associated with post-traumatic stress symptoms (PTSS) 4–6 weeks and 6 months after birth: A longitudinal population-based study. J. Affect. Disord. 2017; 221: 238–245.
- Rodríguez-Almagro J, Hernández-Martínez A, Rodríguez-Almagro D, Quirós-García JM, Martínez-Galiano JM, Gómez-Salgado J. Women’s perceptions of living a traumatic childbirth experience and factors related to a birth experience. International journal of environmental research and public health. 2019; 16(9): 1654.
- Bohren MA, Titiloye MA, Kyaddondo D, Hunter EC, Oladapo OT, ... Tuncalp O. Defining quality of care during childbirth from the perspectives of Nigerian and Ugandan women: A qualitative study. Int J Gynaecol Obstet. 2017; 139: 4–16.
- Yılmaz E, Nazik F. Annelerin doğumu algılayışı ile hemşirelik bakımını algılayışı arasındaki ilişki. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2018; 15(2): 52-56
- Boz İ, Akgün M, Duman F, Uçan H, Göksu M, Coşkun G, Hayta G. Gebelerin doğum eyleminde algıladıkları destekleyici bakım ile doğum algıları arasındaki ilişkinin belirlenmesi. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2019; 16(4): 187-190.
- Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Globalization and health. 2015; 11(1): 1-17.
- Holmes W, Goldstein M. “Being treated like a human being”: Attitudes and behaviours of reproductive and maternal health care providers 2012.
Kadınların Saygılı Annelik Bakımı Doğrultusunda Doğum Deneyimlerinin Değerlendirilmesi: Nitel Bir Araştırma
Abstract
Amaç: Bu nitel çalışma ile, kadınların doğum sürecinde saygılı annelik bakımı kapsamında doğum deneyimlerinin değerlendirilmesi amaçlanmıştır.
Yöntem: Araştırma niteliksel olarak Haziran-Ağustos 2022 tarihleri arasında ülkemizin güneyinde yer alan bir kamu hastanesinin kadın hastalıkları ve doğum birimine bakım ve tedavi amacı ile gelen, normal doğum deneyimlemiş kadınlar ile yapılmıştır. Örneklem sayısı, amaçlı örneklem türlerinden ölçüte dayanaklı örneklem ile saptanmış olup 20 kadın ile doygunluk noktasına ulaşılmıştır. Veriler araştırmacılar tarafından hazırlanan soru formu ile derinlemesine görüşmeler yapılarak toplanmıştır. Verilerin analizinde içerik analizi yöntemi kullanılmıştır.
Bulgular: Elde edilen veriler üç ana tema altında toplanmıştır. Bu temalarda kadınların saygılı annelik bakımı tanımları, saygılı annelik bakımı doğrultusunda doğum deneyimleri ve saygılı annelik bakımını geliştirmek için önerileri belirlenmiştir. Kadınların çoğu doğum deneyimlerinde saygılı annelik bakımının tam olmadığını, yaşadıkları olumsuz deneyimleri çoğunlukla ayrımcılık görme, rahat edilen pozisyonu alamama, ilgisiz yaklaşım, sert/kırıcı sözler kullanılması, doğum refakatçisine izin verilmemesi, işlemler için izin istenmemesi olarak ifade etmişlerdir.
Sonuç: Bu çalışma ile kadınların doğum sürecinde saygılı annelik bakımı kapsamında hem bakım desteği hem de iletişim konularında olumsuz deneyimleri olduğu belirlenmiştir. Bu doğrultuda saygılı annelik bakımı kalitesini iyileştirmek için; konunun sağlık profesyoneli eğitim müfredatlarında, sağlık kurumları hizmet içi eğitim programlarında yoğun bir şekilde ele alınması ve saygılı annelik bakımı klinik ve süpervizyon kılavuzlarının oluşturulması önerilmektedir.
Keywords
References
- World Health Organization reproductive health library. WHO recommendation on effective communication between maternity care providers and women in labor. Geneva, Switzerland: World Health Organization 2018.
- Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis. USAID-Traction Project 2010.
- Respectful Maternity Care Advisory Council. White Ribbon Alliance for Safe Motherhood (WRA). Respectful maternity care: the universal rights of childbearing women. Washington DC 2011.
- World Health Organization. WHO Statement: The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva 2014.
- Rosen HE, Lynam PF, Carr C, Reis V, Ricca J, Bazant ES, Bartlett LA. Direct observation of respectful maternity care in five countries: a cross-sectional study of health facilities in East and Southern Africa. BMC pregnancy and childbirth. 2015; 15(1): 1-11.
- Miller S, Abalos E, Chamillard M, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet. 2016; 388: 2176–92.
- Ndwiga C, Warren CE, Ritter J, Sripad P, Abuya T. Exploring provider perspectives on respectful maternity care in Kenya:“work with what you have”. Reproductive health. 2017; 14(1): 1-13.
- Shakibazadeh E, Namadian M, Bohren M, Vogel JP, Rashidian A, Nogueira Pileggi V, et al. Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG. 2018; 125(8): 932–942.
- International Confederation of Midwives (ICM). Philosophy and model of midwifery care 2014. https://internationalmidwives.org/assets/files/definitions-files/2018/ 06/eng-philosophy-and-model-of-midwifery-care.pdf. (Erişim Tarihi: 30 Kasım 2022)
- Mengistu B, Alemu H, Kassa M, Zelalem M, Abate M, Bitewulign B, ... Magge H. An innovative intervention to improve respectful maternity care in three Districts in Ethiopia. BMC pregnancy and childbirth. 2021; 21(1): 1-10.
- Yıldırım A, Şimşek H. Sosyal bilimlerde nitel araştırma yöntemleri. 5. Baskı. Ankara: Seçkin Yayınları; 2005. p. 49-91.
- Erdoğan S. Nitel araştırmalar. İçinde Hemşirelikte araştırma süreç, uygulama ve kritik. 1.Baskı. İstanbul: Nobel Tıp Kitapevi; 2015. p. 131-164.
- Karataş Z. Sosyal bilimlerde nitel araştırma yöntemleri. Manevi Temelli Sosyal Hizmet Araştırmaları Dergisi. 2015; 1(1): 62-80.
- Günbayı İ, Akcan F. İlköğretim kurumları yöneticilerinin yaşadıkları iş streslerine ilişkin görüşleri: Bir durum çalışması. Öğretmen Eğitimi ve Eğitimcileri Dergisi. 2013; 2(2): 195-224.
- Tekindal M, Özden SA, Gedik TE, Ege A, Erim F, Tekindal MA. Nitel Araştırmaların Raporlanmasında Standartlar: SRQR Kontrol Listesinin Türkçe Uyarlaması. OPUS International Journal of Society Researches. 2021; 18(42): 5425-5443.
- O’Brien TD, Noyes J, Spencer LH, Kubis HP, Hastings RP, Edwards RT, Whitaker R. “Keep fit” exercise interventions to improve health, fitness and well-being of children and young people who use wheelchairs: mixed-method systematic review protocol. Journal of Advanced Nursing. 2014; 70(12): 2942-2951.
- Moridi M, Pazandeh F, Hajian S, Potrata B. Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One. 2020; 15(3): e0229941.
- Iravani M, Zarean E, Janghorbani M, Bahrami M. Women’s needs and expectations during normal labor and delivery. J Educ Health Promot. 2015; 4:(6).
- Oladapo OT, Bohren MA, Fawole B, Mugerwa K, Ojelade OA, Titiloye MA, et al. Negotiating quality standards for effective delivery of labor and childbirth care in Nigeria and Uganda. Int J Gynaecol Obstet. 2017; 139: 47–55.
- Aktaş Reyhan F, Dağlı E. Öğrenci Ebelerin Doğum Sürecinde “Saygılı Annelik Bakımına” İlişkin Görüşleri: Nitel Bir Araştırma. Ankara Sağlık Bilimleri Dergisi. 2022; 11(1): 96-105.
- Bohren MA, Mehrtash H, Fawole B, Maung TM, Balde MD, Maya E, ... Tunçalp Ö. How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. The Lancet. 2019; 394(10210): 1750-1763.
- Burrowes S, Holcombe SJ, Jara D, Carter D, Smith K. Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC pregnancy and childbirth. 2017; 17(1): 1-14.
- Reed R, Sharman R, Inglis C. Women’s descriptions of childbirth trauma relating to care provider actions and interactions. BMC Pregnancy and Childbirth. 2017; 17(21): 1.
- Deki S, Wangmo K. Women’s Views and Experience of Respectful Maternity Care While Delivering in three Regional Referral Hospitals of Bhutan. Amarjeet Kaur Sandhu. 2020; 12(2): 2134.
- Oliveira VJ, Penna CMDM. Discussing obstetric violence through the voices of women and health professionals. Texto & Contexto-Enfermagem. 2017; 26.
- Dikmen-Yildiz P, Ayers S, Phillips L. Factors associated with post-traumatic stress symptoms (PTSS) 4–6 weeks and 6 months after birth: A longitudinal population-based study. J. Affect. Disord. 2017; 221: 238–245.
- Rodríguez-Almagro J, Hernández-Martínez A, Rodríguez-Almagro D, Quirós-García JM, Martínez-Galiano JM, Gómez-Salgado J. Women’s perceptions of living a traumatic childbirth experience and factors related to a birth experience. International journal of environmental research and public health. 2019; 16(9): 1654.
- Bohren MA, Titiloye MA, Kyaddondo D, Hunter EC, Oladapo OT, ... Tuncalp O. Defining quality of care during childbirth from the perspectives of Nigerian and Ugandan women: A qualitative study. Int J Gynaecol Obstet. 2017; 139: 4–16.
- Yılmaz E, Nazik F. Annelerin doğumu algılayışı ile hemşirelik bakımını algılayışı arasındaki ilişki. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2018; 15(2): 52-56
- Boz İ, Akgün M, Duman F, Uçan H, Göksu M, Coşkun G, Hayta G. Gebelerin doğum eyleminde algıladıkları destekleyici bakım ile doğum algıları arasındaki ilişkinin belirlenmesi. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2019; 16(4): 187-190.
- Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Globalization and health. 2015; 11(1): 1-17.
- Holmes W, Goldstein M. “Being treated like a human being”: Attitudes and behaviours of reproductive and maternal health care providers 2012.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | April 28, 2023 |
| Publication Date | April 28, 2023 |
| Submission Date | January 2, 2023 |
| Published in Issue | Year 2023 Volume: 6 Issue: 1 |
Cited By
Turkish validity and reliability study of the “respectful maternity care” knowledge and practice scale of midwives
European Journal of Obstetrics & Gynecology and Reproductive Biology: X
https://doi.org/10.1016/j.eurox.2023.100222
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