Factors intervening in the childbirth experience: a mixed-methods study
Abstract Objective To analyze the childbirth experience focusing on the intervening factors and on the delivery method. Method A sequential and explanatory mixed-methods study guided by the World Health Organization document for positive childbirth experiences. The participants were puerperal women...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-06175-3 |
| _version_ | 1797362780874997760 |
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| author | Luciana Braz de Oliveira Paes Márcia Regina Cangiani Fabbro Beatriz Rosana Gonçalves de Oliveira Toso Jamile Claro de Castro Bussadori Mariana Torreglosa Ruiz Natália Rejane Salim Monika Wernet Aline Oliveira Silveira Flávia Corrêa Porto de Abreu D Agostini |
| author_facet | Luciana Braz de Oliveira Paes Márcia Regina Cangiani Fabbro Beatriz Rosana Gonçalves de Oliveira Toso Jamile Claro de Castro Bussadori Mariana Torreglosa Ruiz Natália Rejane Salim Monika Wernet Aline Oliveira Silveira Flávia Corrêa Porto de Abreu D Agostini |
| author_sort | Luciana Braz de Oliveira Paes |
| collection | DOAJ |
| description | Abstract Objective To analyze the childbirth experience focusing on the intervening factors and on the delivery method. Method A sequential and explanatory mixed-methods study guided by the World Health Organization document for positive childbirth experiences. The participants were puerperal women in a maternity teaching hospital from inland São Paulo (Brazil). The first quantitative stage involved descriptive analysis with Poisson regression of 265 answers to the “Termômetro da Iniciativa Hospital Amigo da Mulher e da Criança” (“Women- and Baby-Friendly Hospital Initiative Thermometer”) questionnaire. The second stage, qualitative, thematically analyzed the interviews conducted with 44 puerperal women who took part in the first stage. Data integration was by connection. The results and discussion The analysis by connection showed that among the factors that restricted the positive experience, C-section was predominant (61.9%), understood as an option due to fear of pain, the treatment modality and previous traumas. Restrictions referring to the presence of a companion (99.6%), not having privacy (83%), disrespectful situations (69.5%), too many touches (56.9%) and the absence of skin-to-skin contact (55%), among others, potentiated fear, loneliness, concern, shame, the perception of disrespect and insecurity with the assistance provided. The promoting factors were as follows: choosing the companion (95.4%) for collaborating in the safety perception, not having infections (83.9%), having continuous team monitoring (82.2%) and pain relief methods (78.9%), which were valued by the women. Conclusion The intervening factors that promoted positive experiences were related to clinical and protocol-related issues and to service availability. The restrictive factors were associated with excess interventions, deprivation of rights and of choice, absence of privacy and restriction referring to the presence of a companion. Women with a normal postpartum period felt more insecure and disrespected when compared to those subjected to C-sections, whose choices were considered, although they had lower prevalence of skin-to-skin contact. There is an urgent need to apprehend women's experiences and turn them into actions that guarantee their lives in a safe and respectful way. |
| first_indexed | 2024-03-08T16:12:23Z |
| format | Article |
| id | doaj.art-768021020ca145f4b6fa1fcbe79dc5fa |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-08T16:12:23Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-768021020ca145f4b6fa1fcbe79dc5fa2024-01-07T12:53:20ZengBMCBMC Pregnancy and Childbirth1471-23932024-01-0124111310.1186/s12884-023-06175-3Factors intervening in the childbirth experience: a mixed-methods studyLuciana Braz de Oliveira Paes0Márcia Regina Cangiani Fabbro1Beatriz Rosana Gonçalves de Oliveira Toso2Jamile Claro de Castro Bussadori3Mariana Torreglosa Ruiz4Natália Rejane Salim5Monika Wernet6Aline Oliveira Silveira7Flávia Corrêa Porto de Abreu D Agostini8Federal University of Sao CarlosFederal University of Sao CarlosWestern Paraná State UniversityFederal University of Sao CarlosFederal University of Triângulo MineiroFederal University of Sao CarlosFederal University of Sao CarlosUniversity of BrasíliaFederal University of Sao CarlosAbstract Objective To analyze the childbirth experience focusing on the intervening factors and on the delivery method. Method A sequential and explanatory mixed-methods study guided by the World Health Organization document for positive childbirth experiences. The participants were puerperal women in a maternity teaching hospital from inland São Paulo (Brazil). The first quantitative stage involved descriptive analysis with Poisson regression of 265 answers to the “Termômetro da Iniciativa Hospital Amigo da Mulher e da Criança” (“Women- and Baby-Friendly Hospital Initiative Thermometer”) questionnaire. The second stage, qualitative, thematically analyzed the interviews conducted with 44 puerperal women who took part in the first stage. Data integration was by connection. The results and discussion The analysis by connection showed that among the factors that restricted the positive experience, C-section was predominant (61.9%), understood as an option due to fear of pain, the treatment modality and previous traumas. Restrictions referring to the presence of a companion (99.6%), not having privacy (83%), disrespectful situations (69.5%), too many touches (56.9%) and the absence of skin-to-skin contact (55%), among others, potentiated fear, loneliness, concern, shame, the perception of disrespect and insecurity with the assistance provided. The promoting factors were as follows: choosing the companion (95.4%) for collaborating in the safety perception, not having infections (83.9%), having continuous team monitoring (82.2%) and pain relief methods (78.9%), which were valued by the women. Conclusion The intervening factors that promoted positive experiences were related to clinical and protocol-related issues and to service availability. The restrictive factors were associated with excess interventions, deprivation of rights and of choice, absence of privacy and restriction referring to the presence of a companion. Women with a normal postpartum period felt more insecure and disrespected when compared to those subjected to C-sections, whose choices were considered, although they had lower prevalence of skin-to-skin contact. There is an urgent need to apprehend women's experiences and turn them into actions that guarantee their lives in a safe and respectful way.https://doi.org/10.1186/s12884-023-06175-3Life-changing eventsMixed-methods studies womenDeliveryPostpartum period |
| spellingShingle | Luciana Braz de Oliveira Paes Márcia Regina Cangiani Fabbro Beatriz Rosana Gonçalves de Oliveira Toso Jamile Claro de Castro Bussadori Mariana Torreglosa Ruiz Natália Rejane Salim Monika Wernet Aline Oliveira Silveira Flávia Corrêa Porto de Abreu D Agostini Factors intervening in the childbirth experience: a mixed-methods study BMC Pregnancy and Childbirth Life-changing events Mixed-methods studies women Delivery Postpartum period |
| title | Factors intervening in the childbirth experience: a mixed-methods study |
| title_full | Factors intervening in the childbirth experience: a mixed-methods study |
| title_fullStr | Factors intervening in the childbirth experience: a mixed-methods study |
| title_full_unstemmed | Factors intervening in the childbirth experience: a mixed-methods study |
| title_short | Factors intervening in the childbirth experience: a mixed-methods study |
| title_sort | factors intervening in the childbirth experience a mixed methods study |
| topic | Life-changing events Mixed-methods studies women Delivery Postpartum period |
| url | https://doi.org/10.1186/s12884-023-06175-3 |
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