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Traumatic childbirth experiences: practice-based implications for maternity care professionals from the woman's
Diana Koster1, Chantal Romijn2, Elvira Sakko2
1Women's Counselling & Theray Services, The Hague, the Netherlands.
Women experiencing traumatic births often felt excluded due to lack of information and consent during intrapartum care. Improving maternity care requires shared decision-making and continuous dialogue to ensure women are central to their childbirth experience.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Qualitative Research
Background:
- Traumatic childbirth experiences can negatively impact maternal mental health.
- Understanding women's perspectives is crucial for improving intrapartum care.
- Current maternity care may not consistently meet women's needs for information and involvement.
Purpose of the Study:
- To explore women's experiences of traumatic childbirth.
- To increase maternity care professionals' awareness of women's intrapartum care needs.
- To identify factors contributing to traumatic birth experiences.
Main Methods:
- Qualitative exploratory study.
- Grounded theory and constant comparison design.
- Thirty-six in-depth interviews with women post-childbirth in the Netherlands.
Main Results:
- Lack of information and informed consent during intrapartum care.
- Women feeling excluded due to unilateral decision-making by healthcare professionals.
- Discrepancies between women's expectations and the reality of labor and birth.
Conclusions:
- Woman-centered care, including personalized and humanizing values, is essential.
- Informed consent and shared decision-making must be prioritized.
- Maternity care professionals should maintain ongoing dialogue and ensure women remain integral to their childbirth process.
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