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Communication between healthcare professionals and parturients during the childbirth experience: a mixed-methods
Luciana Braz de Oliveira Paes1, Natália Rejane Salim2, Beatriz Rosana Gonçalves de Oliveira Toso3
1Centro Universitário Padre Albino. Catanduva, São Paulo, Brazil.
Women experienced communication challenges and limited autonomy during childbirth due to power dynamics with healthcare professionals. Improved communication strategies are crucial for effective maternal care.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Communication
- Patient Experience
Background:
- Effective communication between healthcare providers and patients is vital for positive birth experiences.
- Understanding the parturient's perspective is crucial for improving maternal care quality.
Purpose of the Study:
- To analyze healthcare professional-parturient communication during childbirth from women's perspectives.
- To identify communication barriers and facilitators impacting the childbirth experience.
Main Methods:
- Sequential explanatory mixed-methods study involving postpartum women.
- Quantitative phase: Descriptive analysis of 265 Mother-Baby Friendly Birthing Facilities Thermometer responses.
- Qualitative phase: Thematic content analysis of 44 in-depth interviews.
Main Results:
- Significant limitations in information transmission and understanding were identified.
- Women reported restricted autonomy in decision-making, with information often delivered authoritatively.
- Discharge instructions were an exception, being generally well understood.
Conclusions:
- Childbirth communication is significantly influenced by power dynamics between healthcare professionals and parturients.
- Re-evaluating communication as a core element of maternal care is essential.
- Addressing power imbalances can enhance patient autonomy and satisfaction.
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