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Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study

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2017
Authors
Stanković, Biljana
Article (Published version)
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Abstract
The aim of the present study was to explore how women, users of public maternity healthcare services in Serbia, experience birth and what the most problematic relational aspects of institutional context associated with negative or even traumatic aspects of birth experiences are, as described by the women themselves. An exploratory qualitative study was undertaken using semi-structured interviews with 15 primiparous women aged 26 to 49 who have recently given birth in different public healthcare institutions in Belgrade. The basic framework for the analysis of interview transcripts was the interpretative phenomenological analysis (IPA). Through the analysis, four relatively broad and partly interrelated themes emerged: (a) feelings of isolation and abandonment, (b) lack of communication, (c) lack of a caring relationship, and (d) lack of control and agency. The aspects of institutional environment that were considered particularly distressing in most of the childbirth experiences are re...lated to distant and cold relationship with healthcare providers which adds to the feelings of isolation and abandonment, in addition to the lack of insight into and control over the process of birth that is managed in the hospital context without relying on women's subjective involvement in any relevant way. The present study emphasized a supportive and caring relationship with medical practitioners, as well as allowing women to be more involved into their birthing process, as crucial for positive experience of birth, which might have profound and long-lasting psychosocial consequences. Recommendations for policy makers and future research are offered.

Keywords:
Quality of maternal healthcare / Qualitative research / Medical practitioner-patient relationship / Institutional context / Experience of childbirth
Source:
International Journal of Behavioral Medicine, 2017, 24, 6, 803-814
Publisher:
  • Springer, New York
Funding / projects:
  • Identification, measurement and development of the cognitive and emotional competences important for a Europe-oriented society (RS-179018)

DOI: 10.1007/s12529-017-9672-1

ISSN: 1070-5503

PubMed: 28755325

WoS: 000417201600002

Scopus: 2-s2.0-85026481463
[ Google Scholar ]
13
7
URI
http://reff.f.bg.ac.rs/handle/123456789/2366
Collections
  • Radovi istraživača / Researcher's publications - Odeljenje za psihologiju
Institution/Community
Psihologija / Psychology
TY  - JOUR
AU  - Stanković, Biljana
PY  - 2017
UR  - http://reff.f.bg.ac.rs/handle/123456789/2366
AB  - The aim of the present study was to explore how women, users of public maternity healthcare services in Serbia, experience birth and what the most problematic relational aspects of institutional context associated with negative or even traumatic aspects of birth experiences are, as described by the women themselves. An exploratory qualitative study was undertaken using semi-structured interviews with 15 primiparous women aged 26 to 49 who have recently given birth in different public healthcare institutions in Belgrade. The basic framework for the analysis of interview transcripts was the interpretative phenomenological analysis (IPA). Through the analysis, four relatively broad and partly interrelated themes emerged: (a) feelings of isolation and abandonment, (b) lack of communication, (c) lack of a caring relationship, and (d) lack of control and agency. The aspects of institutional environment that were considered particularly distressing in most of the childbirth experiences are related to distant and cold relationship with healthcare providers which adds to the feelings of isolation and abandonment, in addition to the lack of insight into and control over the process of birth that is managed in the hospital context without relying on women's subjective involvement in any relevant way. The present study emphasized a supportive and caring relationship with medical practitioners, as well as allowing women to be more involved into their birthing process, as crucial for positive experience of birth, which might have profound and long-lasting psychosocial consequences. Recommendations for policy makers and future research are offered.
PB  - Springer, New York
T2  - International Journal of Behavioral Medicine
T1  - Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study
EP  - 814
IS  - 6
SP  - 803
VL  - 24
DO  - 10.1007/s12529-017-9672-1
ER  - 
@article{
author = "Stanković, Biljana",
year = "2017",
abstract = "The aim of the present study was to explore how women, users of public maternity healthcare services in Serbia, experience birth and what the most problematic relational aspects of institutional context associated with negative or even traumatic aspects of birth experiences are, as described by the women themselves. An exploratory qualitative study was undertaken using semi-structured interviews with 15 primiparous women aged 26 to 49 who have recently given birth in different public healthcare institutions in Belgrade. The basic framework for the analysis of interview transcripts was the interpretative phenomenological analysis (IPA). Through the analysis, four relatively broad and partly interrelated themes emerged: (a) feelings of isolation and abandonment, (b) lack of communication, (c) lack of a caring relationship, and (d) lack of control and agency. The aspects of institutional environment that were considered particularly distressing in most of the childbirth experiences are related to distant and cold relationship with healthcare providers which adds to the feelings of isolation and abandonment, in addition to the lack of insight into and control over the process of birth that is managed in the hospital context without relying on women's subjective involvement in any relevant way. The present study emphasized a supportive and caring relationship with medical practitioners, as well as allowing women to be more involved into their birthing process, as crucial for positive experience of birth, which might have profound and long-lasting psychosocial consequences. Recommendations for policy makers and future research are offered.",
publisher = "Springer, New York",
journal = "International Journal of Behavioral Medicine",
title = "Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study",
pages = "814-803",
number = "6",
volume = "24",
doi = "10.1007/s12529-017-9672-1"
}
Stanković, B.. (2017). Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study. in International Journal of Behavioral Medicine
Springer, New York., 24(6), 803-814.
https://doi.org/10.1007/s12529-017-9672-1
Stanković B. Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study. in International Journal of Behavioral Medicine. 2017;24(6):803-814.
doi:10.1007/s12529-017-9672-1 .
Stanković, Biljana, "Women's Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study" in International Journal of Behavioral Medicine, 24, no. 6 (2017):803-814,
https://doi.org/10.1007/s12529-017-9672-1 . .

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