CONFERENCE PROCEEDING
Czech women's experiences with maternity care – analysis of free text comments
 
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1
Department of Health Sciences, Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic
 
2
Department of Gynecology and Obstetrics, University Hospital Brno, Brno, Czech Republic
 
3
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
 
KEYWORDS
ABSTRACT
Introduction:
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.

Results:
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".

Conclusions:
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.

ACKNOWLEDGEMENTS
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.
 
REFERENCES (2)
1.
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
 
2.
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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