Öz
Amaç: Saygılı annelik bakımı, Dünya Sağlık Örgütü tarafından tüm kadınlar için önerilen ve kadınların onurunu, mahremiyetini koruyan, zarar ve kötü muameleden uzak durmayı sağlayan ve bilinçli seçim ve doğum sürecinde sürekli destek sağlayan bakım anlamına gelmektedir. Bu konuda farkındalık sağlamak adına ilk adımı attığımız bu çalışma ile amacımız, öğrenci ebelerin doğum sürecinde “saygılı annelik bakımına” ilişkin görüşlerini belirlemektir. Örneklem ve Yöntem: Araştırma niteliksel olarak Şubat 2022 tarihinde bir devlet üniversitesinin Ebelik Bölümü öğrencileri ile yapılmıştır. Örneklem sayısı, amaçlı örneklem türlerinden ölçüte dayanaklı örneklem ile saptanmış olup 15 öğrencide doygunluk noktasına ulaşılmıştır. Veriler araştırmacılar tarafından hazırlanan soru formu ile derinlemesine görüşmeler yapılarak toplanmıştır. Verilerin analizinde içerik analizi yöntemi kullanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin doğum sürecinde saygılı annelik bakımı konusundaki görüşleri “Saygılı annelik bakımını tanımlama”, “Saygılı annelik bakımı bileşenleri” ve “Saygılı annelik bakımının önemi” olmak üzere üç tema altında toplanmıştır. Saygılı annelik bakımı bileşenleri teması altında literatürle paralel olarak, “Kötü muameleden kaçınma, ayrımcılık yapmama, etkili iletişim kurma, sosyal desteğe erişim sağlanması, bilgilendirilmiş onam alınması, kadının doğurabilme gücünü destekleme, Sürekli ebelik bakımı sağlama” alt temaları toplanmıştır. Sonuç: Bu çalışmada ebe öğrencilerin doğum sürecinde kadınlara saygılı annelik bakımı konusunda mahremiyeti sağlama, etkili iletişim kurma, kötü muameleden uzak durma, nitelikli bir ebelik bakımı sunma gibi faktörlerin öneminin farkında oldukları ve çalışma hayatlarında birçok şey yapabilecekleri görüşünde oldukları sonucuna varılmıştır.
Anahtar Kelimeler
Destekleyen Kurum
Yok
Proje Numarası
Yok
Kaynakça
- Bohren, M. A., Tunçalp, Ö., & Miller, S. (2020). Transforming intrapartum care: respectful maternity care. Best Practice & Research Clinical Obstetrics & Gynaecology, 67, 113-126. doi: 10.1016/j.bpobgyn.2020.02.005.
- Burrowes, S., Holcombe, S. J., Jara, D., Carter, D., & Smith, K. (2017). Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC Pregnancy Childbirth, 17(1), 263. https://doi.org/10.1186/s12884-017-1442-1 PMID: 28830383
- Ishola, F., Owolabi, O., & Filippi, V. (2017). Disrespect and abuse of women during childbirth in Nigeria: A systematic review. PLoS One, 12(3), e0174084. https://doi.org/10.1371/journal.pone.0174084 PMID: 28323860
- Moridi, M., Pazandeh, F., Hajian, S., & Potrata, B. (2020). Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One, 15(3), e0229941.
- Ross-Davie, M. (2012). Measuring the quantity and quality of midwifery support of women during labour and childbirth: the development and testing of the ‘Supportive Midwifery in Labour Instrument’. Stirling, University of Stirling, Scotland, UK.
- Shakibazadeh, E., Namadian, M., Bohren, M., Vogel, J. P., Rashidian, A., Nogueira, P. V., et al. (2018). Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG, 125(8), 932–942. https://doi.org/10.1111/1471-0528.15015
- Sheferaw, E. D., Mengesha, T. Z., & Wase, S. B. (2016). Development of a tool to measure women’s perception of respectful maternity care in public health facilities. BMC Pregnancy and Childbirth, 16(1), 1-8.
- Shimoda, K., Horiuchi, S., Leshabari, S., & Shimpuku, Y. (2018). Midwives’ respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study. Reproductive Health, 15(1), 8. https:// doi.org/10.1186/s12978-017-0447-6
- Tunçalp, Ӧ., Were, W. M., MacLennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., et al. (2015). Quality of care for pregnant women and newborns-the WHO vision. BJOG, 122(8), 1045-1049. doi: 10.1111/1471-0528.13451.
- White Ribbon Alliance. Respectful maternity care: the universal rights of childbearing women. Washington DC: White Ribbon Alliance; 2011. http://www.healthpolicyproject.com/pubs/46_ FinalRespectfulCareCharter.pdf. Accessed date: 01.02.2022
- World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva, Switzerland. Erişim tarihi: 22.02.2022 https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/.
- World Health Organization reproductive health library. WHO recommendation on effective communication between maternity care providers and women in labor. Geneva, Switzerland: World Health Organization; 2018. https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartumcare/care-during-childbirth/who-recommendation-effective-communication-between-maternity-careproviders-and-women-labour. Accessed date: 01.02.2022
- Vogel, J. P., Bohren, M. A., Tuncalp, Ӧ., Oladapo, O. T., & Gulmezoglu, A. M. (2016). Promoting respect and preventing mistreatment during childbirth. BJOG, 123(5), 671–674. https://doi.org/10.1111/1471-0528. 13750
- Yıldırım, A., & Şimşek, H. (2016). Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 10. Baskı, Seçkin Yayıncılık, Ankara.
Öz
Aim: Respectful maternity care means the care recommended by the World Health Organization for all women, protecting women's dignity and privacy, avoiding harm and ill-treatment, and providing continuous support during the conscious choice and birth process. Our aim with this study, which we took the first step to raise awareness on this issue, is to determine the views of student midwives on "respectful maternity care" during the birth process. Subject and Method: The research was qualitatively conducted with the students of the Midwifery Department of a state university in February 2022. The sample number was determined by criterion-based sampling, which is one of the purposeful sampling types, and the saturation point was reached in 15 students. The data were collected by conducting in-depth interviews with a questionnaire prepared by the researchers. Content analysis method was used in the analysis of the data. Results: The opinions of the students participating in the study on respectful maternity care during the birth process were gathered under three themes: "Defining respectful maternity care", "Respectful maternity care components" and "The importance of respectful maternity care". Under the theme of respectful maternity care components, in parallel with the literature, sub-themes of "Avoiding ill-treatment, Non-discrimination, Effective communication, Access to social support, obtaining informed consent, supporting women's fertility, providing continuous midwifery care" were collected. Conclusion: In this study, it was concluded that midwife students are aware of the importance of factors such as providing confidentiality about respectful maternity care to women, effective communication, avoiding ill-treatment, and providing quality midwifery care during the birth process and they think that they can do many things in their working life.
Anahtar Kelimeler
Proje Numarası
Yok
Kaynakça
- Bohren, M. A., Tunçalp, Ö., & Miller, S. (2020). Transforming intrapartum care: respectful maternity care. Best Practice & Research Clinical Obstetrics & Gynaecology, 67, 113-126. doi: 10.1016/j.bpobgyn.2020.02.005.
- Burrowes, S., Holcombe, S. J., Jara, D., Carter, D., & Smith, K. (2017). Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC Pregnancy Childbirth, 17(1), 263. https://doi.org/10.1186/s12884-017-1442-1 PMID: 28830383
- Ishola, F., Owolabi, O., & Filippi, V. (2017). Disrespect and abuse of women during childbirth in Nigeria: A systematic review. PLoS One, 12(3), e0174084. https://doi.org/10.1371/journal.pone.0174084 PMID: 28323860
- Moridi, M., Pazandeh, F., Hajian, S., & Potrata, B. (2020). Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One, 15(3), e0229941.
- Ross-Davie, M. (2012). Measuring the quantity and quality of midwifery support of women during labour and childbirth: the development and testing of the ‘Supportive Midwifery in Labour Instrument’. Stirling, University of Stirling, Scotland, UK.
- Shakibazadeh, E., Namadian, M., Bohren, M., Vogel, J. P., Rashidian, A., Nogueira, P. V., et al. (2018). Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG, 125(8), 932–942. https://doi.org/10.1111/1471-0528.15015
- Sheferaw, E. D., Mengesha, T. Z., & Wase, S. B. (2016). Development of a tool to measure women’s perception of respectful maternity care in public health facilities. BMC Pregnancy and Childbirth, 16(1), 1-8.
- Shimoda, K., Horiuchi, S., Leshabari, S., & Shimpuku, Y. (2018). Midwives’ respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study. Reproductive Health, 15(1), 8. https:// doi.org/10.1186/s12978-017-0447-6
- Tunçalp, Ӧ., Were, W. M., MacLennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., et al. (2015). Quality of care for pregnant women and newborns-the WHO vision. BJOG, 122(8), 1045-1049. doi: 10.1111/1471-0528.13451.
- White Ribbon Alliance. Respectful maternity care: the universal rights of childbearing women. Washington DC: White Ribbon Alliance; 2011. http://www.healthpolicyproject.com/pubs/46_ FinalRespectfulCareCharter.pdf. Accessed date: 01.02.2022
- World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva, Switzerland. Erişim tarihi: 22.02.2022 https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/.
- World Health Organization reproductive health library. WHO recommendation on effective communication between maternity care providers and women in labor. Geneva, Switzerland: World Health Organization; 2018. https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartumcare/care-during-childbirth/who-recommendation-effective-communication-between-maternity-careproviders-and-women-labour. Accessed date: 01.02.2022
- Vogel, J. P., Bohren, M. A., Tuncalp, Ӧ., Oladapo, O. T., & Gulmezoglu, A. M. (2016). Promoting respect and preventing mistreatment during childbirth. BJOG, 123(5), 671–674. https://doi.org/10.1111/1471-0528. 13750
- Yıldırım, A., & Şimşek, H. (2016). Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 10. Baskı, Seçkin Yayıncılık, Ankara.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | Yok |
| Yayımlanma Tarihi | 30 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 11 Sayı: 1 |
