2024
An online survey of women's views of respectful and disrespectful pregnancy and early labour care in the Czech Republic
DALY, Deirdre, Natalie SEDLICKA, Katerina SVANDERLIKOVA, PetraAnn Ann KOVARCIKOVA, Radka WILHELMOVÁ et. al.Základní údaje
Originální název
An online survey of women's views of respectful and disrespectful pregnancy and early labour care in the Czech Republic
Autoři
DALY, Deirdre, Natalie SEDLICKA (203 Česká republika), Katerina SVANDERLIKOVA (203 Česká republika), PetraAnn Ann KOVARCIKOVA (203 Česká republika), Radka WILHELMOVÁ (203 Česká republika, domácí) a Cecily BEGLEY
Vydání
BMC Pregnancy and Childbirth, London, BMC, 2024, 1471-2393
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30304 Public and environmental health
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.100 v roce 2022
Organizační jednotka
Lékařská fakulta
UT WoS
001255992900005
Klíčová slova anglicky
Consent; Decision-making; Maternity care; Respect; Disrespect; Survey
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 9. 7. 2024 13:20, Mgr. Tereza Miškechová
Anotace
V originále
ObjectiveTo ascertain and explore the views of women and their partners, giving birth in the Czech Republic, of the level of respectful or disrespectful care provided during pregnancy and early labour.DesignEthical approval was granted for a descriptive, online anonymous survey of 65 questions, with quantitative and qualitative responses.SettingThe Czech Republic.The survey was completed by 8,767 women and 69 partners in 2018.Measurements and findingsDescriptive statistics and thematic analysis were used to present results. The majority of women were aged 26-35 years. Most had birthed in one of 93 hospitals, with 1.5% home births. Almost 40% never had an abdominal examination.in pregnancy. Quantitative data analysis revealed that less than half were given information on place of birth, or how to keep labour normal or non-interventionist. Almost 60% did not get information on positions for birth. Most (68%) commenced labour naturally, 25% had labour induced, 40% of them before term, and 7% had an elective caesarean section; 55% stated they had not been given any choice in the decision. Over half of those who had a membrane sweep said permission had not been sought. Half (54%) only had 'checking' visits from the midwife in labour.Key conclusionsFindings reveal a lack of information-giving, discussion and shared decision-making from healthcare professionals during pregnancy and early labour. Some practices were non-evidenced-based, and interventions were sometimes made without consent.Implications for practiceThe examples of disrespectful care described in this study caused women distress during childbirth, which may result in an increased fear of childbirth or an increase in free-birthing.