J 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.

Basic information

Original name

An online survey of women's views of respectful and disrespectful pregnancy and early labour care in the Czech Republic

Authors

DALY, Deirdre, Natalie SEDLICKA (203 Czech Republic), Katerina SVANDERLIKOVA (203 Czech Republic), PetraAnn Ann KOVARCIKOVA (203 Czech Republic), Radka WILHELMOVÁ (203 Czech Republic, belonging to the institution) and Cecily BEGLEY

Edition

BMC Pregnancy and Childbirth, London, BMC, 2024, 1471-2393

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.100 in 2022

Organization unit

Faculty of Medicine

UT WoS

001255992900005

Keywords in English

Consent; Decision-making; Maternity care; Respect; Disrespect; Survey

Tags

Tags

International impact, Reviewed
Změněno: 9/7/2024 13:20, Mgr. Tereza Miškechová

Abstract

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.