Importance of the Birth Environment to Support Physiologic Birth

Stark, Mary Ann; Remynse, Marshe; Zwelling, Elaine

doi:10.1016/j.jogn.2015.12.008

Cited by 48 publications

(43 citation statements)

References 40 publications

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“…Esta afirmación está en concordancia con investigaciones que señalan que el hospital supone un ambiente despersonalizado en el cual no es posible mantener una relación individualizada basada en la confianza, y como tal satisfactoria, debido a la falta de continuidad de los cuidados (24,34). Sin embargo, revisiones recientes realizadas por la Cochrane acerca de los diferentes modelos de cuidados ofrecidos por la matrona en el parto, concluyen que pese a la existencia de estudios que vinculan la atención continuada con la satisfacción de la mujer, aún no se puede aseverar tal relación (35).…”

Section: Discussionunclassified

“…En estos espacios tiene lugar un tipo de estructura relacional sistémica basada en la mutua confianza y el diálogo. Aunque este tipo de interacción lo ofrecen tanto obstetras como matronas, son estas las que más lo dispensan, convirtiéndose en un profesional que no solo proporciona autonomía y seguridad a la mujer, sino que es capaz de adentrarse en sus valores y detectar sus necesidades (23,24,35).…”

Section: Discussionunclassified

“…Respecto a ello, la investigación se alinea con los resultados de otros estudios que relacionan los elementos arquitectónicos de los espacios donde se lleva a cabo la atención perinatal con la calidad asistencial y las emociones que experimenta la mujer, argumentando que intimidad, seguridad y privacidad solo se consiguen cuando la mujer da a luz en entornos arquitectónicamente adaptados para ello (35,36).…”

Section: Discussionunclassified

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Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

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Objetivo: explorar las emociones que emergen en la mujer durante el embarazo, parto y el puerperio a lo largo del itinerario asistencial de atención primaria y hospitalaria. Método: estudio cualitativo basado en la Teoría Fundamentada. Se realizaron dos grupos de discusión a profesionales: obstetras, matronas y enfermeras. Igualmente, se desarrollaron entrevistas en profundidad a mujeres en el puerperio. Resultados: las emociones de la mujer en la atención perinatal aparece como categoría central. A partir de ésta, las emociones negativas emergen por la interacción de cinco metacategorías: a) Miedo: dolor al parto y desajuste de expectativas, b) Ansiedad e incertidumbre: enfrentándose a la amenaza del riesgo y la desinformación, c) Vergüenza: comprometiendo la privacidad, d) Ira y Desamparo: asimetría en la estructura relacional, e) Soledad: discontinuidad en la atención asistencial. Las emociones positivas surge de la metacategoría: f) Tranquilidad y confianza: construyendo una interacción clínica simétrica y humanizada. Conclusiones: se constata una variabilidad emocional debido a la coexistencia de los modelos tecnocrático y biopsicosocial. Este proyecta humanidad en los cuidados perinatales, frente a un modelo biomédico marcado por una estructura relacional paternalista y asistencia fragmentada; ambos serán determinantes en la emergencia de emociones en la atención perinatal.

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Section: Discussionunclassified

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Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

View full text Add to dashboard Cite

show abstract

“…Physicians working at the obstetric unit are trained to look for pathology, and maybe therefore more likely to intervene. Stark et al found that the support of physiological labour and birth for low risk women when giving birth at the obstetric unit is more difficult than at another location different from the hospital obstetric unit [20]. Therefore, it might be more challenging to support physiological labour and birth at an on-site birth centre than at an alongside or freestanding birth centre.…”

Section: Discussionmentioning

confidence: 99%

“…Although there is a wide variation in the interpretation of the element homelike among Dutch birth centres and the use of the facilities, birth centres could be a stimulating environment for midwives to give a stronger focus on physiological birth to enhance quality in Dutch maternity care. However, the creation of a culture that supports physiological birth involves more than the cosmetic appearance of the birth setting [20]. …”

Section: Discussionmentioning

confidence: 99%

Defining and describing birth centres in the Netherlands - a component study of the Dutch Birth Centre Study

Hermus

Boesveld²,

Hitzert

et al. 2017

BMC Pregnancy Childbirth

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BackgroundDuring the last decade, a rapid increase of birth locations for low-risk births, other than conventional obstetric units, has been seen in the Netherlands. Internationally some of such locations are called birth centres. The varying international definitions for birth centres are not directly applicable for use within the Dutch obstetric system. A standard definition for a birth centre in the Netherlands is lacking. This study aimed to develop a definition of birth centres for use in the Netherlands, to identify these centres and to describe their characteristics.MethodsInternational definitions of birth centres were analysed to find common descriptions. In July 2013 the Dutch Birth Centre Questionnaire was sent to 46 selected Dutch birth locations that might qualify as birth centre. Questions included: location, reason for establishment, women served, philosophies, facilities that support physiological birth, hotel-facilities, management, environment and transfer procedures in case of referral. Birth centres were visited to confirm the findings from the Dutch Birth Centre Questionnaire and to measure distance and time in case of referral to obstetric care.ResultsFrom all 46 birth locations the questionnaires were received. Based on this information a Dutch definition of a birth centre was constructed. This definition reads: “Birth centres are midwifery-managed locations that offer care to low risk women during labour and birth. They have a homelike environment and provide facilities to support physiological birth. Community midwives take primary professional responsibility for care. In case of referral the obstetric caregiver takes over the professional responsibility of care.” Of the 46 selected birth locations 23 fulfilled this definition. Three types of birth centres were distinguished based on their location in relation to the nearest obstetric unit: freestanding (n = 3), alongside (n = 14) and on-site (n = 6). Transfer in case of referral was necessary for all freestanding and alongside birth centres. Birth centres varied in their reason for establishment and their characteristics.ConclusionsTwenty-three Dutch birth centres were identified and divided into three different types based on location according to the situation in September 2013. Birth centres differed in their reason for establishment, facilities, philosophies, staffing and service delivery.

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The riddle of the extreme ends of the birth experience: Birthing consciousness and its fragility

Dahan

2021

Curr Psychol

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Importance of the Birth Environment to Support Physiologic Birth

Cited by 48 publications

References 40 publications

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Defining and describing birth centres in the Netherlands - a component study of the Dutch Birth Centre Study

The riddle of the extreme ends of the birth experience: Birthing consciousness and its fragility

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