Author/Editor		Prosen, Mirko
Title		Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi
Translated title		The impact of childbirth practices in institutionalised care on childbirth experience
Type		članek
Vol. and No.		Letnik 53, št. 4
Publication year		2019
Volume		str. str. 288-299
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Language		slv
Abstract		Uvod: Nosečnost in porod sta naravna dogodka, čeprav ju danes - ob upoštevanju dejstva, da živimo v "družbi tveganja" - opredeljujemo skozi prizmo patologije in potencialnih nevarnosti. Cilj raziskave je bil razumeti izkušnje in doživljanja žensk, povezana z rojevanjem v porodnišnicah skozi prevladujoče porodne prakse, ki so po prepričanju žensk pomembno krojile njihovo porodno izkušnjo. Metode: Uporabljena je bila sekundarna analiza kvalitativnih podatkov. Primarni podatki so bili zbrani leta 2014 v okviru raziskave Medikalizacija nosečnosti in poroda kot družbena konstrukcija z narativno metodo. V vzorec sekundarne analize je bilo vključenih 18 transkriptov intervjujev z ženskami, ki so rodile v porodnišnici. Analiza kvalitativnih podatkov je bila izvedena s pomočjo računalniškega programa NVivo, verzija 12. Rezultati: V analizi so bile identificirane tri teme: (1) pomembnost podpore zdravstvenega osebja in avtonomija odločanja; (2) sprememba fokusa v dojemanju carskega reza kot naravnega načina rojevanja; (3) rutinizacija in tehnifikacija porodnih praks. Diskusija in zaključek: Rojevanje tako danes kot nekoč usmerjajo negativne in pozitivne porodne izkušnje. Poznati je treba oboje. Za ženske je prva porodna izkušnja poučna in obenem določujoča, saj na njeni podlagi presojajo prihodnje porodne izkušnje. Podpora zdravstvenega osebja ter avtonomija odločanja sta ključni za pozitivno porodno izkušnjo. K temu bi lahko v prihodnje pomembno prispevale tudi spremembe nekaterih utečenih porodnih praks, ki bi morale hitreje slediti praksi, utemeljeni z dokazi.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.
Keywords		medikalizacija medicina babištvo ženske družba medicalization midwifery medicine society women