Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis

AbstractThe medicalisation of childbirth has diminished the role of labouring people. We conducted an exploratory phenomenological qualitative study, using purposive sampling, and then conducted 17 semi-structured interviews between December 2016 and October 2017 with people who had recently given b...

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Main Authors: Maribel Mella-Guzmán, Lorena Binfa, Fiona Weeks
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Sexual and Reproductive Health Matters
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/26410397.2024.2310889
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author Maribel Mella-Guzmán
Lorena Binfa
Fiona Weeks
author_facet Maribel Mella-Guzmán
Lorena Binfa
Fiona Weeks
author_sort Maribel Mella-Guzmán
collection DOAJ
description AbstractThe medicalisation of childbirth has diminished the role of labouring people. We conducted an exploratory phenomenological qualitative study, using purposive sampling, and then conducted 17 semi-structured interviews between December 2016 and October 2017 with people who had recently given birth in a public hospital in the Northern Metropolitan area of Santiago, Chile. The sufficiency of the study group was determined according to saturation criteria. Triangulated content analysis was applied to explore the clinical relationship and processes of autonomy and decision-making. The predominant clinical relationship observed was paternalism. The participation of labouring people in decision-making is scarce, with no evidence of ethically valid processes of informed consent.
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spelling doaj.art-96dc21a9ae2547afb6aaeefa773db0e22024-03-25T18:23:36ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972023-12-0131110.1080/26410397.2024.2310889Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysisMaribel Mella-Guzmán0Lorena Binfa1Fiona Weeks2Assistant Professor, Midwife, Department of Women’s and Newborn Health Promotion, School of Medicine, University of Chile, Santiago, ChileProfessor, Midwife, Department of Women’s and Newborn Health Promotion, School of Medicine, University of Chile, Santiago, ChileDepartment of Population Health Sciences, Center for Demography and Ecology, University of Wisconsin-Madison, Madison, WI, USA.AbstractThe medicalisation of childbirth has diminished the role of labouring people. We conducted an exploratory phenomenological qualitative study, using purposive sampling, and then conducted 17 semi-structured interviews between December 2016 and October 2017 with people who had recently given birth in a public hospital in the Northern Metropolitan area of Santiago, Chile. The sufficiency of the study group was determined according to saturation criteria. Triangulated content analysis was applied to explore the clinical relationship and processes of autonomy and decision-making. The predominant clinical relationship observed was paternalism. The participation of labouring people in decision-making is scarce, with no evidence of ethically valid processes of informed consent.https://www.tandfonline.com/doi/10.1080/26410397.2024.2310889clinical relationshipautonomyreproductive rightswomen’s healthbirth
spellingShingle Maribel Mella-Guzmán
Lorena Binfa
Fiona Weeks
Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
Sexual and Reproductive Health Matters
clinical relationship
autonomy
reproductive rights
women’s health
birth
title Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
title_full Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
title_fullStr Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
title_full_unstemmed Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
title_short Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis
title_sort autonomy in labour and delivery in a latin american urban centre a qualitative phenomenological analysis
topic clinical relationship
autonomy
reproductive rights
women’s health
birth
url https://www.tandfonline.com/doi/10.1080/26410397.2024.2310889
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