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Managing childbirth expectations : an explorative study on how midwifes manage childbirth expectations of pregnant women in the Dutch obstetric care system.

Veltjen, K.J. (2017) Managing childbirth expectations : an explorative study on how midwifes manage childbirth expectations of pregnant women in the Dutch obstetric care system.

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Abstract:Background: Pregnancy and childbirth is a life changing experience. Childbirth experiences have an immediate and long-lasting effect on the woman’s well-being and her relationship with the baby. A negative childbirth experience is associated with serious problems. Negative and positive childbirth experiences are inherently linked to childbirth expectations, which are usually formed many months before the actual childbirth. Well-executed expectations management during pregnancy could help prepare pregnant women and their partners better for the impeding childbirth. The aim of this study is to discover how Dutch midwifes deal with expectations management in the existing Dutch obstetric care. Method: This descriptive exploratory study used a sequential two-method design including a questionnaire at the “Pregnancy and Childbirth Symposium”, followed by twelve semi-structured interviews with Dutch midwifes. The interview participants were recruited through a request for interview participation integrated in the questionnaire. The interview data-analysis consist of open coding in the software program Atlas ti 8.0. Results: The twelve Dutch midwifes worked in six different practices in the region of Overijssel in the Netherlands: 1) a big city practice with a high SES population, 2) a big city practice with a low SES population, 3) a small practice with a religious population, 4) a small practice with a population that lives in the countryside and 5) and 6) are quite similar, two middle size practices in villages. Several improvement points were given by the midwifes to improve expectations management within the Dutch obstetric care. Conclusion: The obstetric care in the Netherlands handles a women centered approach, where midwifes provide tailored care. Dutch midwifes find out what the expectations of pregnant woman for the impeding childbirth are by asking them. The form and how they give substance to expectations management depends on the size of the midwife practice and on the population the practice cares for. Dutch midwifes use different methods to manage childbirth expectations but the most common way is conversation.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:70 social sciences in general
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/72996
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