Women’s psychological experiences of physiological childbirth: a meta-synthesis

Fernández, Ibone Olza; Leahy‐Warren, Patricia; Benyamini, Yael; Kaźmierczak, Maria; Karlsdóttir, Sigfríður Inga; Spyridou, Andria; Crespo-Mirasol, Esther; Takács, Lajos; Hall, Priscilla; Murphy, Margaret; Jónsdóttir, Sigríður Sía; Downe, Soo; Nieuwenhuijze, Marianne

doi:10.1136/bmjopen-2017-020347

Cited by 168 publications

(169 citation statements)

References 58 publications

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“…We know that post-partum mental health is affected by the birth experience. 34,35 Women who under-go a positive and empowering birth experience are much less likely to experience post-traumatic stress disorder and post-partum depression. Midwifery care and out of hospital birth have consistently shown to improve satisfaction and sense of empowerment after the birth process.…”

Section: Recommendation 6 Protect the Mental Health Of New Familiesmentioning

confidence: 99%

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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During the coronavirus disease 2019 (COVID-19) pandemic, health systems all over the world are either stressed to their maximum capacity or anticipating becoming overwhelmed. The population is advised not to attend hospital unless strictly necessary, yet this advice seems to apply to all but healthy women during childbirth.Specialized hospital care during childbirth can be lifesaving in case of obstetric complications or for COVID-19 symptomatic women, while strong evidence suggests the appropriateness of midwifery units that are integrated into the healthcare system for eligible women. We must ask ourselves whether obstetric units are the appropriate birthing facilities for healthy women during the pandemic.We have learned from previous crises that the needs of women and children are often badly served during disasters. The COVID-19 pandemic raises concerns over escalation of mistreatment and abuse media are already reporting on restrictions to the rights of birthing women in Europe and the US. In addition, concerns have emerged over increased risk of infection to COVID-19 among birthing women and familied by concentrating all women in obstetric units and lack of optimal care due to pressure on staff and resources. Women's rights in childbirth are being threatened by lack of care during labor, restrictions on accompaniment, unnecessary interventions including inductions, separation of mother and baby and prohibition on breastfeeding.An effective response to the crisis depends on strong and coordinated health care systems where mothers can birth safely, and the needs of the newborn babies are met.The interpretation of what constitute safe care is a stimulus for a strong debate between those who argue for strengthening community and primary care services and those who recommend for centralization of all births in hospitals. This debate is particularly salient during this pandemic and in preparation of future pandemics.We propose a strategic response in the face of the pandemic by expanding the use of midwifery units both alongside the obstetric unit and freestanding (in the community). Where midwifery units are absent pop-up units can be created quickly following the example of the Netherlands.

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Section: Recommendation 6 Protect the Mental Health Of New Familiesmentioning

confidence: 99%

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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“…A pesar de todo intento de dominio y control, el parto ocurre como acontecimiento imprevisible por antonomasia, pues en él se activan circuitos corporales psico-neuro-inmuno-endocrinos que actúan de manera inconsciente (19) , que generan un "estado alterado de conciencia" (25) . Por eso, la perturbación que genera la recuperación de la corporalidad deriva en la incomodidad de tener que lidiar con una situación constitutivamente incontrolable.…”

Section: La Recuperación Del Cuerpounclassified

“…Este sustraerse de la parturienta a toda posibilidad de control se pone en evidencia particularmente en la enajenación total del momento del nacimiento, cuando la conciencia cede todo lugar al cuerpo que, en el paroxismo del parto, se escapa al dominio de la técnica (25) . Ahora bien, en este escaparse, en este sustraerse, es donde reside su dignidad.…”

Section: La Recuperación Del Cuerpounclassified

El racionalismo y la descorporalización moderna del parto: por una ecología del nacimiento

Viola

Espinoza

2020

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RESUMEN El presente artículo ofrece una genealogía del paradigma biomédico del parto, con el objetivo de deconstruir los principios del racionalismo que condujeron a la objetivación del cuerpo y la consecuente mercantilización del nacimiento. Se pretende demostrar cómo dicha concepción del cuerpo y de la sensibilidad determina el proceso del nacimiento, en tanto acontecimiento de carácter relacional. Metodológicamente, esta deconstrucción se lleva a cabo a través de una genealogía crítico-descriptiva de los presupuestos teóricos de la concepción racionalista del cuerpo. A través del desarrollo del concepto de ecología del parto se propone, a su vez, repensar dicho carácter relacional a partir de una propuesta valorativa de lo corporal, es decir del cuerpo entendido como lenguaje de proximidad tomando como marco de referencia teórico la ética de la diferencia. Esta reivindicación del carácter ecológico-relacional de la sensibilidad tiene potencial para instaurar una dinámica de cooperación y responsabilidad que subvierta la lógica racionalista del control y el dominio que rige el paradigma biomédico vigente.ABSTRACT The paper proposes a genealogy of the biomedical paradigm surrounding childbirth, with the aim of deconstructing the principles of rationalism that led to the objectification of the body and to the consequent commodification of birth. We intend to demonstrate how such a conception of the body and of sensibility determines the birth process, which leads us to consider it an event that is relational in nature. Methodologically, this deconstruction is carried out through a critical-descriptive genealogy of the theoretical assumptions of the rationalist conception of the body. By developing the concept of ecology of childbirth, we intend to call into question this relational nature of the body and to recover the value of corporeality and embodiment as a language of proximity, within a theoretical framework of the ethics of difference. This vindication of the ecologicalrelational nature of sensibility has the potential to establish a dynamic of responsibility and cooperation capable of subverting the rationalist logic of control and the dominion of the current biomedical paradigm.

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“…The birth experience could be positive and empowering, or negative and traumatising. 3 Women who receive good emotional support from their health care professionals during labour have a positive birth experience. Women in labour should be well communicated and actively involved in all the decisions.…”

Section: Satisfaction With the Mode Of Deliverymentioning

confidence: 99%

Satisfaction and maternal postnatal adjustments following different modes of delivery

Eti

Sunitha

Sarojamma

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Childbirth has a profound influence in a women’s life. One factor that has been more consistently identified as influencing the women’s physical and psychological symptoms following childbirth is the mode of birth. This study aims at figuring out on women’s satisfaction with their mode of delivery and what difficulties they faced in the immediate postnatal period accordingly.Methods: All women who delivered between the period 1st July 2019 to 1st August 2019 were interviewed with a pretested semi structured questionnaire on postnatal day two. Patient was asked how much they were satisfied with their mode of delivery, immediate postnatal adjustments like ambulation, holding the baby first time, initiation of breastfeeding and pain score following different modes of delivery. The data was analysed to find out which mode of delivery made women more comfortable in the immediate postnatal period.Results: A total 97.1% women were satisfied with the support they got from health care professionals during labour. But when compared, spontaneous vaginal delivery group were satisfied with their mode of delivery (P-value-0.0005 highly significant) than the rest. Women who had vaginal delivery were ahead of caesarean group in terms of ambulation, holding the baby, initiation of breastfeeding and were well adjusted in their postnatal period.Conclusions: Authors conclude that women in our study were more satisfied with spontaneous vaginal delivery than caesarean section which was reflected in their immediate postnatal adjustments. As obstetricians’ authors need to understand the empowering effects of the psychological experience of vaginal delivery. The benefits of this process can be maximized through good communication skills and emotional support for women, enhancing their confidence to deliver normally so that caesarean section is done only when really indicated.

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Women’s psychological experiences of physiological childbirth: a meta-synthesis

Cited by 168 publications

References 58 publications

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

El racionalismo y la descorporalización moderna del parto: por una ecología del nacimiento

Satisfaction and maternal postnatal adjustments following different modes of delivery

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