gms | German Medical Science

7th International Conference of the German Society of Midwifery Science (DGHWi) and 1st Midwifery Education Conference (HEBA-Paed)

German Association of Midwifery Science (DGHWi)
German Midwifery Association (DHV)

08.02. - 10.02.2024, Berlin

Social space perception in negative/traumatic birth narratives

Meeting Abstract

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  • corresponding author Yvonne J. Kuipers - Artesis Plantijn University College, Antwerp, Belgium
  • Gill Thomson - School of Community Health & Midwifery, University of Central Lancashire, Preston, United Kingdom
  • Julia Leinweber - Institute of Midwifery Science of the Charité, University Medicine Berlin, Germany

German Association of Midwifery Science. 7th International Conference of the German Association of Midwifery Science (DGHWi), Heba-Paed – 1st Midwifery Education Conference of the German Association of Midwifery Science (DGHWi) and the German Midwifery Association (DHV). Berlin, 08.-10.02.2024. Düsseldorf: German Medical Science GMS Publishing House; 2024. DocIK-V13

doi: 10.3205/24dghwi43, urn:nbn:de:0183-24dghwi436

This is the English version of the article.
The German version can be found at: http://www.egms.de/de/meetings/dghwi2024/24dghwi43.shtml

Published: February 7, 2024

© 2024 Kuipers et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: Many women experience giving birth as a negative or even as a traumatic event. Birth space and its occupants are fundamentally interconnected with negative and traumatic experiences, highlighting the importance of the social space of birth.

Aim: To explore experiences of women who have had a negative or traumatic birth to identify the value, sense and meaning they assign to the social space of birth.

Methods: A feminist standpoint theory guided the research. Secondary discourse analysis of 51 qualitative data sets/transcripts from Dutch and Czech Republic postpartum women and 551 free-text responses of the Babies Born Better survey from women in the United Kingdom, Netherlands, Belgium, Germany, Austria, Spain, and the Czech Republic.

Results: Three themes and associated sub-themes emerged:

1.
The institutional dimension of social space related to staff-imposed boundaries, rules and regulations surrounding childbirth, and a clinical atmosphere
2.
The relational dimension of social space related to negative women-healthcare provider interactions and relationships, including notions of dominance, power, authority, and control
3.
The personal dimension of social space related to how women internalised and were affected by the negative social dimensions including feelings of faith misplaced, feeling disconnected and disembodied, and scenes of horror

Relevancy: Women with a negative or traumatic birth assign negative meanings to the social space of birth.

Recommendations/conclusion: The findings suggest that improving the quality of the social space of birth may promote better birth experiences for women. The institutional, relational, and personal dimensions of the social space of birth are key in the planning, organisation, and provision of maternity care.

Ethics and conflicts of interest: A vote on ethics was not necessary. The research was financed by third-party funds. There are no conflicts of interest.