The impact of childbirth practices in institutionalised care on childbirth experience

qualitative secondary analysis

Authors

DOI:

https://doi.org/10.14528/snr.2019.53.4.2956

Keywords:

medicalization, midwifery, medicine, women, society

Abstract

Introduction: Pregnancy and childbirth are physiological events but in the present-day risk- oriented society they are often viewed as representing potential pathology and hazards. The aim of the study was to understand the experiences of childbearing women in institutional care through dominant childbirth practices which, in women's opinion, shaped their birth experience.
Methods: Qualitative secondary analysis was used. The primary data was collected in 2014 in the study titled Medicalization of pregnancy and childbirth as social construction by using the narrative method. The sample in secondary analysis included 18 transcripts of the interviews conducted with women who had given birth in maternity hospitals. The analysis of qualitative data was conducted with the NVivo version 12 computer software.
Results: In the analysis three themes were identified: (1) the importance of support of healthcare professionals and the autonomy in decision making; (2) a shift in focus of viewing Caesarean section as natural childbirth; (3) turning childbirth practices into routine and technical processes.
Discussion and conclusion: Childbearing has always been guided by both, a negative and positive childbirth experience, so it is important to be familiar with both. For women, their first childbirth experience is a learning experience and at the same time a determining one, as it is the basis for determining their future childbirth experiences. The support of healthcare professionals and autonomy in decision making are crucial for a positive childbirth experience. In addition, changes in some of the established childbirth practices, which should follow evidence-based practice with a greater pace, would also contribute to a better experience of childbirth.

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Author Biography

Mirko Prosen, University of Primorska Faculty of Health Sciences

Mirko Prosen, PhD, MSc, BSc, RN, Assistant Professor

References

Aune, I., Dahlberg, M.U. & Ingebrigtsen, O., 2012. Parents' experiences of midwifery students providing continuity of care. Midwifery, 28(4), pp. 432−438. https://doi.org/10.1016/j.midw.2011.06.006 PMid:21764190

Behruzi, R., Hatem, M., Goulet, L., Fraser, W. & Misago, C., 2013. Understanding childbirth practices as an organizational cultural phenomenon: a conceptual framework. BMC Pregnancy and Childbirth, 13, pp. 1–10. https://doi.org/10.1186/1471-2393-13-205 PMid:24215446; PMCid:PMC3835545

Bezenšek, J. & Barle, A., 2007. Poglavja iz sociologije medicine. Univerza v Mariboru, Medicinska fakulteta: Maribor. Bystrova, K., Ivanova, V., Edhborg, M.,Matthiesen, A.S., Ransjö-Arvidson, A.B., Mukhamedrakhimov, R., et al., 2010. Early contact versus separation: effects on mother-infant interaction 1 year later. Obstetric Anesthesia Digest, 30(2), pp. 116−117. https://doi.org/10.1097/01.aoa.0000370536.74543.e3

Christiaens, W. & Van Teijlingen, E., 2009. Four meanings of medicalization: childbirth as a case study. Salute e societa, 8(2), pp. 123–142.

Conrad, P., 1992. Medicalization and social control. Annual Review of Sociology, 18(1), pp. 209−232. https://doi.org/10.1146/annurev.so.18.080192.001233

Conrad, P., 2005. The shifting engines of medicalization. Journal of Health and Social Behavior, 46(1), pp. 3−14.

Conrad, P., 2007. The Medicalization of society: on the transformation of human conditions into treatable disorders. The Johns Hopkins University Press: Baltimore.

Conrad, P. & Barker, K.K., 2010. The Social construction of illness: key insights and policy implications. Journal of Health and Social Behavior, 51(Suppl 1), pp. S67−S79. https://doi.org/10.1177/0022146510383495 PMid:20943584

Correia, T., 2017. Revisiting medicalization: a critique of the assumptions of what counts as medical knowledge. Frontiers in Sociology, 2(14). Available at: https://www.frontiersin.org/article/10.3389/fsoc.2017.00014 [14. 11. 2018].

Davis, J., 2006. How medicalization lost its way. Society, 43(6), pp. 51−56. https://doi.org/10.1007/BF02698486

Davis, J.E., 2010. Medicalization, social control, and the relief of suffering. In: W.C. Cockerham, ed. The New Blackwell Companion to Medical Sociology. Malden: Wiley-Blackwell, pp. 211−241. PMid:20679093; PMCid:PMC3002238

Dove, S. & Muir-Cochrane, E., 2014. Being safe practitioners and safe mothers: a critical ethnography of continuity of care midwifery in Australia. Midwifery, 30(10), pp. 1063−1072. https://doi.org/10.1016/j.midw.2013.12.016 PMid:24462189

Hammer, R.P. & Burton-Jeangros, C., 2013. Tensions around risks in pregnancy: a typology of women's experiences of surveillance medicine. Social Science Medicine, 93, pp. 55–63. https://doi.org/10.1016/j.socscimed.2013.05.033 PMid:23906121

Healy, S., Humphreys, E. & Kennedy, C., 2017. A qualitative exploration of how midwives' and obstetricians' perception of risk affects care practices for low-risk women and normal birth. Women and Birth, 30(5), pp. 367−375. https://doi.org/10.1016/j.wombi.2017.02.005 PMid:28279637

Hislop, J. & Arber, S., 2003. Understanding women's sleep management: beyond medicalization-healthicization. Sociology of Health & Illness, 25(7), pp. 815−837. https://doi.org/10.1046/j.1467-9566.2003.00371.x PMid:19774748

Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije, 2014. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Long-Sutehall, T., Sque, M. & Addington-Hall, J., 2010. Secondary analysis of qualitative data: a valuable method for exploring sensitive issues with an elusive population. Journal of Research in Nursing, 16(4), pp. 335−344. https://doi.org/10.1177/1744987110381553

Lupton, D., 2003. Medicine as culture: illness, disease and the body in western societies. Sage: London.

Maharaj, D., 2009. Eating and drinking in labor: should it be allowed. European Journal of Obstetrics & Gynecology and Reproductive Biology, 146(1), pp. 3–7. https://doi.org/10.1016/j.ejogrb.2009.04.019 PMid:19428169

Malacrida, C. & Boulton, T., 2012. Women's Perceptions of Childbirth "Choices": competing discourses of motherhood, sexuality, and selflessness. Gender & Society, 26(5), pp. 748–772. https://doi.org/10.1177/0891243212452630

Malacrida, C. & Boulton, T., 2014. The best laid plans: women's choices, expectations and experiences in childbirth. Health, 18(1), pp. 41–59. https://doi.org/10.1177/1363459313476964 PMid:23426792

Maturo, A., 2012. Medicalization: current concept and future directions in a Bionic Society. Mens Sana Monographs, 10(1),pp. 122−133. https://doi.org/10.4103/0973-1229.91587 PMid:22654387; PMCid:PMC3353591

Njenjić, G. & Skela-Savič, B., 2011. Koncept kontinuirane babiške skrbi: percepcija in vedenje nosečnic. Obzornik zdravstvene nege, 45(2), pp. 83−91. Available at: https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/2815 [5. 1. 2019].

Polit, D.F., & Tatano Beck, C., 2014. Essentials of nursing research: appraising evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer Health.

Prosen, M., 2014. Vpetost zdravja žensk v kolesje medikalizacije. In: T. Štemberger Kolnik, D. Ravnik, K. Babnik & M. Bulič, eds. Zdravstvena nega v javnem zdravstvu: zbornik prispevkov z recenzijo. Druga znanstvena konferenca z mednarodno udeležbo, Izola, 31.1.2014. Koper: Založba Univerze na Primorskem, pp. 93−100. https://doi.org/10.1016/j.wombi.2018.06.018

Prosen, M., 2016. Medikalizacija nosečnosti in poroda kot družbena konstrukcija: doktorska disertacija. Maribor: Univerza v Mariboru, Filozofska fakulteta.

Prosen, M. & Tavčar Kranjc, M., 2013. Sociological conceptualization of the medicalization of pregnancy and childbirth: the implications in Slovenia. Revija za sociologiju, 43(3), pp. 251–272. https://doi.org/10.1016/j.wombi.2018.06.018

Prosen, M. & Tavčar Kranjc, M., 2018. Perspectives and experiences of healthcare professionals regarding the medicalisation of pregnancy and childbirth. Women and Birth, 32(2), pp. e173-e181. https://doi.org/10.1016/j.wombi.2018.06.018

Riegel, B. & Dickson, V.V., 2016. A qualitative secondary data analysis of intentional and unintentional medication nonadherence in adults with chronic heart failure. Heart & Lung, 45(6), pp. 468−474. https://doi.org/10.1016/j.hrtlng.2016.08.003 PMid:27595910

Riessman, C.K., 1983. Women and medicalization: a new perspective. Social Policy, 14(1), pp. 3–18. PMid:10264493

Ruggiano, N. & Perry, T.E., 2017. Conducting secondary analysis of qualitative data: should we, can we, and how. Qualitative Social Work. Available at: https://journals.sagepub.com/doi/abs/10.1177/1473325017700701 [12. 11. 2018].

Shepherd, A. & Cheyne, H., 2013. The frequency and reasons for vaginal examinations in labour. Women and Birth, 26(1), pp. 49−54. https://doi.org/10.1016/j.wombi.2012.02.001 PMid:22397830

Skubic, M., Petročnik, P., Mivšek, A.P., Jug Došler, A., Stanek Zidarič, T. & Škodič Zakšek, T., 2014. Kontinuirana babiška obravnava: prihodnost za zdravje žensk in njihovih družin. In: T. Štemberger Kolnik, D. Ravnik, K. Babnik & M. Bulič, eds. Zdravstvena nega v javnem zdravstvu: zbornik prispevkov z recenzijo. Druga znanstvena konferenca z mednarodno udeležbo, Izola, 31.1.2014. Koper: Založba Univerze na Primorskem, pp. 107−111.

Stanek Zidarič, T., Mivšek, A.P., Skubic, M. & Zakšek, T., 2011. Kontinuirana babiška skrb: predstavitev projekta Oddelka za babištvo Zdravstvene fakultete Ljubljana in Mestne občine Ljubljana. Obzornik zdravstvene nege, 45(5), pp. 141−145. Available at: https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/2826 [5. 7. 2018].

Strmec, B. & Hajtnik, K., 2015. Hranjenje in pitje med porodom: pregled priporočil in stanja v Sloveniji. In: S. Majcen Dvoršak, T. Štemberger Kolnik & D. Klemenc, eds. Z optimalnimi viri do učinkovite zdravstvene in babiške nege: zbornik prispevkov z recenzijo, 10. kongres zdravstvene in babiške nege Slovenije, Brdo pri Kranju, 11. in 12. maj 2015. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Ljubljana, pp. 446–456.

Tate, J.A. & Happ, M.B., 2018. Qualitative secondary analysis: a case exemplar. Journal of Pediatric Health Care, 32(3), pp. 308−312. https://doi.org/10.1016/j.pedhc.2017.09.007 PMid:29254902

Vodušek Fabjan, V. & Kavšek, G., 2013. Delivery. In: I. Verdenik, Ž. Antolič Novak & J. Zupan, eds. Perinatologia Slovenica II: pregled slovenskih perinatalnih rezultatov za obdobje 2002-11. Ljubljana: Združenje za perinatalno medicino SZD, Klinični oddelek za perinatologijo, pp. 59–71. White, K., 2009. An introduction to the sociology of health and illness. Sage: London.

Williams, S.J., Gabe, J. & Davis, P., 2008. The sociology of pharmaceuticals: progress and prospects. Sociology of Health & Illness, 30(6), pp. 813−824. https://doi.org/10.1111/j.1467-9566.2008.01123.x PMid:18761505

World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. Available at: http://www.wma.net/en/20activities/10ethics/10helsinki/DoH-Oct2013-JAMA.pdf [1. 9. 2016].

Wray, S. & Deery, R., 2008. The Medicalization of Body size and women's healthcare. Health Care for Women International, 29(3), pp. 227−243. https://doi.org/10.1080/07399330701738291 PMid:18350426

Yin, R.K., 2011. Qualitative research from start to finish. The Guilford Press: New York.

Zanardo, V., Canella, A., Maone, R. & Straface, G., 2013. Bonding and breastfeeding after a cesarean delivery. Early Human Development, 89(Suppl 4), pp. S56−S57. https://doi.org/10.1016/S0378-3782(13)70100-2

Published

2019-12-16

How to Cite

Prosen, M. (2019). The impact of childbirth practices in institutionalised care on childbirth experience: qualitative secondary analysis. Slovenian Nursing Review, 53(4), 288–299. https://doi.org/10.14528/snr.2019.53.4.2956

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Original scientific article

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