Título:	Factors intervening in the childbirth experience : a mixed-methods study
Autor(es):	Paes, Luciana Braz de Oliveira Fabbro, Márcia Regina Cangiani Toso, Beatriz Rosana Gonçalves de Oliveira Bussadori, Jamile Claro de Castro Ruiz, Mariana Torreglosa Salim, Natália Rejane Wernet, Monika Silveira, Aline Oliveira D Agostini, Flávia Corrêa Porto de Abreu
Afiliação do autor:	Federal University of Sao Carlos Federal University of Sao Carlos Western Paraná State University Federal University of Sao Carlos Federal University of Triângulo Mineiro Federal University of Sao Carlos Federal University of Sao Carlos University of Brasília Federal University of Sao Carlos
Assunto:	Mulheres grávidas Parto (Obstetrícia) Pós-parto Experiências vivenciais
Data de publicação:	2-Jan-2024
Editora:	BMC
Referência:	PAES, Luciana Braz de Oliveira et al. Factors intervening in the childbirth experience: a mixed-methods study. BMC Pregnancy Childbirth, v. 24, n. art. 14, 2024. DOI: https://doi.org/10.1186/s12884-023-06175-3. Disponível em: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-06175-3. Acesso em: 12 jul. 2924.
Abstract:	Objective To analyze the childbirth experience focusing on the intervening factors and on the delivery method. Method A sequential and explanatory mixed-methods study guided by the World Health Organization document for positive childbirth experiences. The participants were puerperal women in a maternity teaching hospital from inland São Paulo (Brazil). The first quantitative stage involved descriptive analysis with Poisson regression of 265 answers to the “Termômetro da Iniciativa Hospital Amigo da Mulher e da Criança” (“Women- and Baby-Friendly Hospital Initiative Thermometer”) questionnaire. The second stage, qualitative, thematically analyzed the interviews conducted with 44 puerperal women who took part in the first stage. Data integration was by connection. The results and discussion The analysis by connection showed that among the factors that restricted the positive experience, C-section was predominant (61.9%), understood as an option due to fear of pain, the treatment modality and previous traumas. Restrictions referring to the presence of a companion (99.6%), not having privacy (83%), disrespectful situations (69.5%), too many touches (56.9%) and the absence of skin-to-skin contact (55%), among others, potentiated fear, loneliness, concern, shame, the perception of disrespect and insecurity with the assistance provided. The promoting factors were as follows: choosing the companion (95.4%) for collaborating in the safety perception, not having infections (83.9%), having continuous team monitoring (82.2%) and pain relief methods (78.9%), which were valued by the women. Conclusion The intervening factors that promoted positive experiences were related to clinical and protocol-related issues and to service availability. The restrictive factors were associated with excess interventions, deprivation of rights and of choice, absence of privacy and restriction referring to the presence of a companion. Women with a normal postpartum period felt more insecure and disrespected when compared to those subjected to C-sections, whose choices were considered, although they had lower prevalence of skin-to-skin contact. There is an urgent need to apprehend women's experiences and turn them into actions that guarantee their lives in a safe and respectful way.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS) Departamento de Enfermagem (FS ENF)
Licença:	© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
DOI:	https://doi.org/10.1186/s12884-023-06175-3
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