Abstract
The scientific discourse does not consider the possibilities of preparing pregnant women for interaction with medical personnel during childbirth by means of perinatal pedagogy. Purpose of the study: To determine the key problems of interaction between women in labor and the staff of medical institutions (maternity hospitals) and their causes, the elimination of which could be facilitated by perinatal pedagogy. The study was conducted by the method of content-analysis of interviews of 24 women. The main topics were identified that describe the negative experience of women in childbirth: neglect of medical personnel, ignoring requests for information on the state of the mother and child, psychological pressure and manipulation, compulsion to medical intervention, corruption, extortion. Also, 4 types of women’s emotional reaction to the situation were identified: positive, unemotional, negative (low and high intensity). Analysis gives reason to believe that the main cause of psychological trauma is not the experienced events, but the attitude towards them. Perinatal pedagogy can reduce the trauma of birth experience by increasing medical literacy and legal awareness of pregnant women, through training and practical training, irradiating the methods of communication with medical personnel. Psychological birth trauma in women is largely determined by negative experience of interaction with the staff of medical institutions. More detailed statistical studies of the factors that enhance the negative emotional reaction to this experience and the development of methods for preparing pregnant women for it are needed.
Highlights
In the scientific discourse, the problem of psychological trauma to women at the stage of childbirth and postpartum care is widely discussed
Another sociocultural factor is the epistemological prerequisites of a patriarchal society, which prevent women from recognizing medical interventions as violence, it is physically experienced as such [6]
Purpose of the study: to determine the key problems of interaction between women in labor and the staff of medical institutions and their causes, the elimination of which could be facilitated by perinatal pedagogy
Summary
The problem of psychological trauma to women at the stage of childbirth and postpartum care is widely discussed. A factor is the communication problems of medical personnel: failing to recognise and meet the human needs of of patients [5] Another factor is too active and sometimes unnecessary medical intervention, such as a vaginal examination [6] or a cesarean section [7]. Patterson et al Speak of “toxic cultures” that determine the behavior of medical personnel [5] Another sociocultural factor is the epistemological prerequisites of a patriarchal society, which prevent women from recognizing medical interventions (in particular, vaginal examination) as violence, it is physically experienced as such [6].
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