Optimal settings for childbirth

Autor: Soo Downe, Marco Santini, Eletta Naldi, Laura Iannuzzi, Lucia Branchini, Nicoletta Setola, Sandra Morano, Ramon Escuriet Peiró, Grazia Giulia Cocina
Jazyk: angličtina
Rok vydání: 2018
Předmět:
ISSN: 0026-4784
Popis: Many studies highlight how health is influenced by the settings in which people live, work, and receive health care. In\ud particular, the setting in which childbirth takes place is highly influential. The physiological processes of women’s labor\ud and birth are enhanced in optimal (“salutogenic,” or health promoting) environments. Settings can also make a difference\ud in the way maternity staff practice. This paper focuses on how positive examples of Italian birth places incorporate principles\ud of healthy settings. The “Margherita” Birth Centre in Florence and the Maternity Home “Il Nido” in Bologna were\ud purposively selected as cases where the physical-environmental setting seemed to reflect an embedded model of care that\ud promotes health in the context of childbirth. Narrative accounts of the project design were collected from lead professional\ud and direct inspections performed to elicit the key salutogenic components of the physical layout. Comparisons\ud between cases with a standard hospital labor ward layout were performed. Cross-case similarities emerged. The physical\ud characteristics mostly related to optimal settings were a result of collaborative design decisions with stakeholders and\ud users, and the resulting local intention to maximize safe physiological birth, psychosocial wellbeing, facilitate movement\ud and relaxation, prioritize space for privacy, intimacy, and favor human contact and relationships. The key elements\ud identified in this paper have the potential toinform further investigations for the design or renovation of all birth places\ud (including hospitals) in order to optimize the salutogenic component of any setting in any country.\ud (Cite this article as: Setola N, Iannuzzi L, Santini M, Cocina GG, Naldi E, Branchini L, et al. Optimal settings for childbirth.\ud Minerva Ginecol 2018;70:000-000. DOI : 10.23736/S0026-4784.18.04327-7)
Databáze: OpenAIRE