Article
Barriers and facilitators of person-centered obstetric care – perceptions of obstetric staff
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Authors
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Nina Nicole Schurig
- Institute for Systems Medicine (ISM), Medical School Hamburg (MSH), Hamburg, Germany
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Bianka Vollert
- Institute for Systems Medicine (ISM), Medical School Hamburg (MSH), Hamburg, Germany
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Lara Seefeld
- Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, TU Dresden, Germany
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Victoria Weise
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, TU Dresden, Germany
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Cahit Birdir
- Department of Obstetrics and Gynecology, University Hospital Carl Gustv Carus, TU Dresden, Germany
| Published: | February 7, 2024 |
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Outline
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Background: Although the birth of a child is a positive experience for most parents, in international studies up to 34% of mothers and 25% of partners report a negative or even traumatic birth experience. Some aspects that contribute to a positive birth experience relate to the interactions between the obstetric staff and the birthing woman (e.g., inclusion of the birthing woman in decision-making processes and perceived control). Person-centered care approaches play a central role in this.
Aim/research question: The aim of this qualitative substudy of the interdisciplinary research project RESPECT, which is funded by the BMG, is a detailed analysis of the obstetric staff’s perspective on the barriers but also the facilitating factors of person-centered obstetric care in daily clinical practice. Furthermore, an analysis of their perception of their own role with regard to the subjective birth experience of parents will be conducted.
Methods: Obstetric staff will be interviewed once using 60-minute qualitative guided interviews with case vignettes. The case vignettes will include brief subjective birth reports from women with an emphasis on the role of the obstetric staff in their birth experience. Data analysis will be conducted using reflexive thematic analysis by Braun & Clarke.
Results: The anticipated findings of RESPECTSTAFF include a detailed analysis of obstetric staff’s perspective on person-centered care in childbirth. In addition to that, as part of a joint analysis of the data with the results of the other substudies of the project, the results will also be used to compare the staff’s perspective with the parents’ perspective. Recruitment is currently taking place. The interviews with the staff will be conducted from the end of 2023.
Relevancy: In order to implement person-centered approaches to obstetric care, the perspective of obstetric staff is of central importance. While such approaches need to represent the perspective of parents, the implementation lies with the obstetric staff. The results of this substudy can therefore be used to develop solutions that address the needs and reality of the staff and facilitate their implementation in daily obstetric practice.
Recommendations/conclusion: In the follow-up of this study, new approaches for the improvement of person-centered obstetric care can be developed according to the German national health goal “Health around birth” in order to improve the birth experience for parents and minimize possible adverse long term health consequences of a negative birth experience.
Ethics and conflicts of interest: The ethics committee at TU Dresden gave ethical approval (ref: SR-EK-331072022). The interdisciplinary research project RESPECT is funded by the BMG. There are no conflicts of interest.
The PDF file of the poster submitted for the meeting is available in English as Attachment 1 [Attach. 1].
