A multidisciplinary evaluation, exploration, and advancement of the concept of a traumatic birth experience.

Autor: Kuipers Y; School of Health & Social Care, Edinburgh Napier University, 9 Sighthill Court, Edinburgh EH11 4BN, Scotland, UK; Artesis Plantijn University of Applied Sciences, Noorderplaats 2, 2000 Antwerp, Belgium. Electronic address: y.kuipers@napier.ac.uk., Thomson G; School of Community Health & Midwifery, University of Central Lancashire, Preston, Lancashire PR1 2HE, United Kingdom. Electronic address: gthomson@uclan.ac.uk., Škodová Z; Institute of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University Malá Hora 5, 036 01 Martin, Slovak republic. Electronic address: zuzana.skodova@uniba.sk., Bozic I; Ina Bozic, Hospital KH Wels/Griesskirchen in Wels, Grieskirchner Str. 42, 4600 Wels, Austria. Electronic address: ina.bozic@klinikum-wegr.at., Lísa Sigurðardóttir V; University of Iceland, Faculty of Nursing and Midwifery, Eiríksgata 34, 101 Reykjavík,Iceland; National University Hospital, Women's Clinic Hringbraut, 101 Reykjavík, Iceland. Electronic address: valgerds@hi.is., Goberna-Tricas J; Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Bellvitge Health Sciences Campus, c/ Feixa Llarga s/n, L'Hospitalet de Llobregat, 08907 Barcelona, Spain. Electronic address: jgoberna@ub.edu., Zurera A; University of Barcelona, Faculty of Law, Avinguda Diagonal, 684, 08028 Barcelona, Spain. Electronic address: albazurera@ub.edu., Neves DM; ISCTE - Instituto Universitário de Lisboa (ISCTE-IUL), Centro de Investigação e Estudos de Sociologia, Lisboa, Portugal. Electronic address: dulce_neves@iscte-iul.pt., Barata C; Instituto de Ciências Sociais, Universidade de Lisboa, Av. Professor Aníbal de Bettencourt 9, 1600-189 Lisboa, Portugal. Electronic address: catarina.barata@ics.ulisboa.pt., Klier C; Department of Pediatrics and Adolescent Medicine, Division of Pediatric Pulmonology, Allergology and Endocrinology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Electronic address: claudia.klier@meduniwien.ac.at.
Jazyk: angličtina
Zdroj: Women and birth : journal of the Australian College of Midwives [Women Birth] 2024 Feb; Vol. 37 (1), pp. 51-62. Date of Electronic Publication: 2023 Aug 30.
DOI: 10.1016/j.wombi.2023.08.004
Abstrakt: Background: Understanding a woman's traumatic birth experience benefits from an approach that considers perspectives from various fields of healthcare and social sciences.
Aim: To evaluate and explore the multidisciplinary perspectives surrounding a traumatic birth experience to form a theory and to capture its structure.
Methods: A multidisciplinary advanced principle-based concept analysis was conducted, including the following systematic steps: literature review, assessment of concept maturity, principle-based evaluation, concept exploration and advancement, and formulating a multidisciplinary concept theory. We drew on knowledge from midwifery, psychology, childbirth education, bioethics, obstetric & gender violence, sociology, perinatal psychiatry, and anthropology.
Results: Our evaluation included 60 records which were considered as 'mature'. Maturity was determined by the reported concept definition, attributes, antecedents, outcomes, and boundaries. The four broad principles of the philosophy of science epistemology, pragmatics, linguistics, and logic illustrated that women live in a political, and cultural world that includes social, perceptual, and practical features. The conceptual components antecedents, attributes, outcomes, and boundaries demonstrated that a traumatic birth experience is not an isolated event, but its existence is enabled by social structures that perpetuate the diminished and disempowered position of women in medical and institutionalised healthcare regulation and management.
Conclusion: The traumatic childbirth experience is a distinctive experience that can only occur within a socioecological system of micro-, meso-, and macro-level aspects that accepts and allows its existence and therefore its sustainability - with the traumatic experience of the birthing woman as the central construct.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Conflict of interest None.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE