Czech women's experiences with maternity care – analysis of free text comments
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Department of Health Sciences, Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic
Department of Gynecology and Obstetrics, University Hospital Brno, Brno, Czech Republic
Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic
Publication date: 2023-10-24
Corresponding author
Lenka Veselá   

Department of Health Sciences, Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic
Eur J Midwifery 2023;7(Supplement 1):A57
Women's satisfaction with maternity care is an important indicator of quality. A qualitative analysis of free text comments was used to explore women's experiences in a nationwide study.

Material and Methods:
A questionnaire-based cross-sectional study using the standardized PREMAPEQ tool1. Evaluation: 1) thematic analysis - 29 main themes; 2) combination of inductive and deductive procedures; 3) literature review - frameworks for assessing women's satisfaction with caregiving; 4) selection of appropriate framework.

There are currently 2287 questionnaires completed, one third of which contain free text comments. The analysis used a 7-dimensional framework - StEM2: 1. Woman as a unique individual; 2. Woman as an active participant; 3. Responsiveness of maternity care; 4. Lived experience; 5. Communication and relationship; 6. Information and education; 7. Support. The most represented were four dimensions (2-5). (2): "Woman's response to the provided care, conscious choice based on experience, woman's passivity vs. activity, impossibility of choice'; (3): "breastfeeding (non)support, health professionals' actions in accordance vs. in direct contradiction with woman's wishes, (dis)respect for the woman's needs, separation, what women miss in the system"; (4): "expressed trauma, rationalization, conscious choice of place or provider, rude or violent attitude"; (5): "(non)support, not believing that "I'm in labour", woman left with fears without explanation".

Women’s most often mentioned experiences come from the childbirth (non-support, disrespect, manipulation, interventions without consent, obstetric violence) and the postpartum period (disempowerment of woman as a mother, contradictory information, breastfeeding non-support, inappropriate environment and food). Positive experiences reported: giving birth with a person or place of her own choice, clear information, support and outpatient or home-birth.

The project "The quality of provided prenatal and perinatal care from the Czech woman perspective" is supported by the Ministry of Health of the Czech Republic no. NU21-09-00564.
Sjetne IS, Iversen HH, Kjøllesdal JG. A questionnaire to measure women's experiences with pregnancy, birth and postnatal care: instrument development and assessment following a national survey in Norway. BMC Pregnancy Childbirth. 2015;15:182. doi:10.1186/s12884-015-0611-3
Vogels-Broeke M, de Vries R, Nieuwenhuijze M. Dimensions in women's experience of the perinatal period. Midwifery. 2020;83:102602. doi:10.1016/j.midw.2019.102602
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