Keywords
family childbirth
accompanying person
obstetric care
How to Cite
Abstract
Background. According to the World Health Organization (WHO) and in the Patient Rights Charter, every woman giving birth has the right to the presence of an accompanying person during the birth of her child. The presence of an accompanying person affects the childbirth experience. WHO emphasizes the benefits such as sense of security, meeting the needs for closeness and to strengthen ties. Objectives. Assessment of the relationship between the presence of close person and the medicalization of labor. Identify the relationship between the presence of the accompanying person and the childbirth experience. Material and methods. The survey was conducted during February–March 2018. The research tool was a survey available on-line on the website www.ankieta.rodzicpoludzku.pl. The analysis of the material is based on sociodemographic data of the birth, information about accompanying person, medical interventions used during labor and childbirth experience. Results. The majority of women benefited during childbirth from the right to the presence of an accompanying person at childbirth (72.97%). The respondents most often chose the child’s father (69.87%). In these women, delivery was with more medical interventions (induction and stimulation of labor). A group of these respondents better assess their childbirth experience and the medical care received from their staff. Conclusions. The presence of an accompanying person during childbirth affects women’s childbirth experience, increases the chance of respecting the patient’s rights in obtaining consent for treatments, while also combining with higher medicalization of childbirth.References
Jenczura A, Stawicka K, Podsiadło B, i wsp. Postawy partnera podczas porodu rodzinnego. W: Markocka-Mączka K, Król H, red. nauk. Dobrostan a rozwój i zdrowie dzieci i młodzieży. Lublin: NeuroCentrum; 2016: 107–115.
World Health Organization. Poród nie jest chorobą. Fortaleza, Brazylia; 1985. Dostępny na URL: http://www.rodzicpoludzku.pl/Wokol-porodu/zalecenia-WHOPorod-nie-jest-choroba.html [cyt. 10.04.2019].
World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience; 2018. Dostępny na URL: https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/ [cyt. 10.04.2019].
Ustawa z dnia 6 listopada 2008 r. o prawach pacjenta i Rzeczniku Praw Pacjenta (Dz.U. 2017 poz. 1318 z późn. zm).
Rozporządzenie Ministra Zdrowia z dnia 16 sierpnia 2018 r. w sprawie standardu organizacyjnego opieki okołoporodowej (Dz.U. 2018 poz. 1756).
Mazurkiewicz B, Wietrzyńska A, Dmoch-Gajzlerska E. Decyzja o porodzie rodzinnym: przyczyny, motywy, uwarunkowania. W: Turowski K, red. Zdrowie i dobrostan. Lublin: NeuroCentrum; 2014: 89–108.
Walewska D, Bączek G, Tataj-Puzyna U, i wsp. Poród – rodzinne wydarzenie. Fides et Ratio 2017; 29(1): 171–181.
Nilsson L, Thorsell T, Hertfelt Wahn E, et al. Factors influencing positive birth experiences of first-time mothers. Nurs Res Pract 2013, doi: http://dx.doi.org/10.1155/2013/349124.
Stowarzyszenie Doula w Polsce. Dostępny na URL: http://www.doula.org.pl/ [cyt. 10.04.2019].
Kozhimannil KB, Hardeman RR, Attanasio LB, et al. Doula care, birth outcomes, and costs among Medicaid beneficiaries. Am J Public Health 2013; 103(4): 113–121.
Kozhimannil KB, Attanasio LB, Jou J, et al. Potential benefits of increased access to doula support during childbirth. Am J Manag Care 2014; 20(8): 340–352.
Berkau A. Wpływ wsparcia i obecności partnera na samopoczucie kobiety rodzącej. Pol Prz Nauk Zdr 2015; 2(43): 71–75.
Rudnicka B, Wrońska B, Szymańska I, i wsp. Ocena wybranych parametrów klinicznych rodzących kobiet i noworodków w przebiegu porodu konwencjonalnego i porodu rodzinnego. Perinatol Neonatol Ginekol 2012; 5(3): 131–136.
Steen M, Downe S, Bamford N, et al. Not-patient and not-visitor: a meta synthesis fathers’ encounters with pregnancy, birth and maternity care. Midwifery 2012; 28(4): 422–431.
Hodnett ED, Gates S, Hofmeyr GJ, et al. Continuous support for women during childbirth. Cochrane Database Syst Rev 2013; 7, doi: 10.1002/14651858.CD003766.
Spiby H, Green JM, Darwin Z, et al. Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation. Health Serv Deliv Res 2015; 3(8): 1–332.
Bojarczuk K, Łagowska-Batyra A, Kochman M, i wsp. The role of a support person during labour. J Educ Health Sport 2018; 8(6): 372–390.
Bohren MA, Hofmeyr G, Sakala C, et al. Continuous support for women during childbirth. Cochrane Database Syst Rev 2017; 7, doi: 10.1002/14651858.CD003766.
Karauda M, Łepecka-Klusek C, Buholc M. Współcześni małżonkowie wobec porodu rodzinnego. Wiad Lek 2006; 59(9–10): 623–625.
Menhart L, Prosen M. Women’s satisfaction with the childbirth experience: a descriptive research. Obzornik zdravstvene nege 2017; 51(4): 298–311.
Hinic KA. The relationships among perceived stress, birth satisfaction, and breastfeeding self-efficacy in early postpartum women. Seton Hall University Dissertations and Theses (ETDs) 2015.
Rudnicka B. Poród w polskim położnictwie u progu XXI w. Rozprawa na stopień doktora nauk medycznych napisana pod kierunkiem prof. dr. hab. Zbigniewa Pietrzaka, Wydział Pielęgniarstwa i Położnictwa, II Katedra Ginekologii i Położnictwa, Uniwersytet Medyczny w Łodzi. Łódź: Główna Biblioteka Lekarska; 2009.