Obstetricians’ Attitude towards Childbirth

Abstract

(1) Background: In Spain, as in other countries, there is an increase in policies and practices focused on the humanization of perinatal care. In this regard, the quality of interpersonal interactions between women and health professionals is one of the main factors, and, apart from other factors, it is influenced by health professionals´ attitudes towards childbirth. The main objective of this study was to determine the attitudes of obstetricians towards the humanization of childbirth and the promotion of a positive childbirth experience. (2) Methods: The psychosocial task force of the Spanish Society of Obstetrics and Gynecology designed a nationwide online survey. The questionnaire on attitudes towards childbirth (CAVE, acronym for “cuestionario de actitudes sobre vivencias y experiencias en el parto”) was used for the assessment. Exploratory and confirmatory factor analyses of the scale were also performed. (3) Results: A total of 384 participants completed the survey. Obstetricians showed a high-quality clinical obstetric performance, but some difficulties in identifying birth-related psychological-trauma risk factors. Some differences according to practice and gender were found in the final score and in areas regarding psychosocial risk, pain, accompaniment, and women´s expectations. (4) Conclusions: In light of the results, it is advisable to launch education initiatives aimed to improve interaction with pregnant women.

Perceptions in the formation of graduates of residency in obstetric nursing: a described-exploratory study / As percepções na formação de egressos da residência em enfermagem obstétrica: estudo descrito-exploratório

“…The scientific literature 1,[5][6][7][8][9][10][11][12][18][19] confirms the performance of the OE in the lines of care for women and newborns, in which it is evident that the global performance of the obstetric nurse occurs both in primary care, with prenatal care, and in multiple sectors of the hospital, such as triage, delivery room, and rooming-in. The trajectory in the context of labor and birth constitutes one of the central points of the REO, ensuring its professional exercise with direct care of the woman in the parturient process, whether in the normal delivery center, delivery room, obstetric center or prepartum/puerperium.…”

“…With this, the MH has been investing in the quali-fication of professionals, aiming at actions for humanization and insertion of OE in the context of normal childbirth care, to change the Brazilian scenario, with a decline in unnecessary interventions and cesarean sections. 11,18 Therefore, the REO programs aim to strengthen this process to ensure the ethical and transformative exercise, with training focused on humanization and scientific evidence.…”

“…23 And when the maintenance of a model, which is interventionist, medicalized, valuing the established medical knowledge, allows the performance of the EO to be curtailed, even if the Law of Professional Practice of Nursing establishes the performance of EO in direct assistance to pregnancies and deliveries of usual risk. 1,[7][8][17][18][19]24 Thus, in view of the public policies to improve and encourage the formation of the EO, the role cannot be limited, but the assistance must be guaranteed, with a collaborative, scientific and humanized work process, [5][6][10][11]17 focused on the quality and safety of labor and birth. In this context, the quality of care depends on the joint action between the teams, such as the exchange of knowledge and decision making, so that each professional has their unique importance in the care of women and newborns, promoting collaborative action aligned to the physiology, humanization, and proven beneficial practices.…”

Exploring Healthcare Providers’ Perspectives of Childbirth Education Classes for Quality of Care and Positive Childbirth Experience: An Interpretative Phenomenological Analysis Study

“…The healthcare providers who participated in this study highlighted the sub-theme: Responsibility of healthcare provider, as the healthcare provider is responsible for improving mothers' experiences during childbirth. According to González-Mesa et al [54], educational measures should be implemented for obstetricians to improve their interactions with pregnant women. Moreover, medical staff should reconsider how they engage with expectant mothers to enhance the quality of care they provide and to make the birthing process more pleasant and humane for everyone involved [55].…”