Detailed Information on Publication Record
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
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.