Childbirth experience of women in a maternity hospital signatory of the Adequate Childbirth Project: mixed study

Experiencia de parto de mujeres en una maternidad signatorial del Proyecto Parto Adecuado: estudio mixto

ABSTRACT

Objective

To understand the childbirth experience of women assisted in a maternity hospital signatory of the Adequate Childbirth Project.

Methodology

Mixed study, carried out in 2018. Applied the Free Word Association Test in 62 pregnant women and then conducted an open interview with 18 of them, then puerperal women, and, for analysis, the Central Nucleus Theory, Word Cloud, and thematic Categories, respectively.

Results

The predominant words revealed in the quantitative stage were: pain, wonderful, recovery, anxiety, and desires. The qualitative analysis is presented by thematic categories “Women’s insecurities in the PPA model” and “New perspectives from experience in the PPA model”.

Conclusions

The women’s experiences demonstrated that the model favored the remodeling of childbirth care. However, they still experience pain, dissatisfaction, and lack of autonomy. The impossibility of choosing a trusted professional was a source of insecurity, and nurses had no voice in decisions and actions in care.

Keywords
Midwifery; Natural childbirth; Humanizing delivery; Patient satisfaction