Gender a výzkum / Gender and Research 2011, 12 (2): 63-74

Birth care and the experience of czech Women: a Qualitative Study

Ema Hrešanová

Focusing on Czech birth care, this article examines the birth experience of 40 women who gave birth in different maternity hospitals during the past seven years. It investigates how these women approached birth care and what ideas they had about it. The article builds on semi ‑structured and narrative interviews with postpartum women, which were conducted within two different research projects. The interviewees differed in many aspects and especially in their general approach to childbirth issues and their interest in the subject. Several key issues emerged out of the thematic analysis of interviews: fear of childbirth, birth care evaluations, priorities and demands, and strategies of their enforcement. These issues are part of a wider concept of birth care, and five different conceptions of birth care were identified in the women's birth narratives. They reflect different attitudes to the medicalization of birth care, different levels of knowledge and interest in childbirth issues, and different perceptions of their own position in the context of care provision.

Keywords: childbirth, birth care, Czech women

Published: June 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Hrešanová, Ema. 2011. "Birth care and the experience of czech Women: a Qualitative Study." Gender, Equal Opportunities, Research 12(2):63-74.
Download citation

References

  1. Bryant, J., Porter, M., Tracy, S., Sullivan, E. 2007. "Caesarean birth: Consumption, safety, order, and good mothering." Social Science and Medicine, Vol. 65, No. 6: 1192-1201. Go to original source...
  2. Craven, C. 2005. "Is Reproductive Healthcare Access a 'Consumer Rights' Issue?" Anthropology News, Vol. 46, No. 1: 16-19. Go to original source...
  3. Davis-Floyd, R. 2004. "Consuming childbirth. The Qualitifed commodification of midwifery care." Pp. 211-248 in Taylor, J. et al. (eds.). Consuming motherhood. New Brunswick, Jersey: Rutgers University Press.
  4. Denzin, N., Lincoln, Y. 2005. "Introduction." Pp. 1-32 in Denzin, N., Lincoln, Y. (eds.). The Sage handbook of qualitative research. Thousand Oaks, London: Sage.
  5. DeVries, R., Salvesen, H., Wiegers, T., Williams, S. 2001. "What and (why) do women want? The Desires of women and the design of maternity care." Pp. 243-266 in DeVries, R. et al. (eds.). Birth by Design. Pregnancy, Maternity Care, and Midwifery in North America and Europe. New York: Routledge. Go to original source...
  6. Donovan, S. 2006. "Inescapable burden of choice? The impact of a culture of prenatal screening on women's experiences of pregnancy." Health Sociology Review, Vol. 15, No. 4: 397-405. Go to original source...
  7. Ezzy, D. 2002. Qualitative analysis. London: Routledge.
  8. Hasmanová Marhánková, J. 2008. "Konstrukce normality, rizika a vědění o těle v těhotenství - příklad genetických screeningů." Biograf, roč. 47: 56 odst.
  9. Hasmanová Marhánková, J. 2009. "Těhotenství v perspektivě sociálních věd." Sociální Studia, roč. 6, č. 4: 55-71. Go to original source...
  10. Hašková, H. 2000. "Současná porodní a poporodní praxe v ČR." Gender, rovné příležitosti, výzkum, roč. 1, č. 4: 13-15.
  11. Hašková, H. 2001. Názorové diferenciace k současným změnám v českém porodnictví. Praha: Sociologický ústav AV ČR.
  12. Hrešanová, E. 2004. "Porodní asistentky ve dvou porodnicích ČR: etnografická studie." Pp. 284-293 in Darulová, J. et al. (eds.). Sféry ženy: žena skromná a žena verejná. Bánská Bystrica: Fakulta humanitných vied University Mateja Bela a Sociologický ústav AV ČR.
  13. Hrešanová, E. 2007. "Midwives, Women, and the Professionalization of Midwifery: An Ethnographic Study of Two Maternity hospitals in the Czech Republic." Cogniţie, Creier, Comportament/ Cognition, Brain, Behavior, Vol. 11, No. 2: 371- 96.
  14. Hrešanová, E. 2008. Kultury dvou porodnic: etnografická studie. Plzeň: Vydavatelství ZČU.
  15. Hrešanová, E., Hasmanová Marhánková, J. 2008. "Nové trendy v českém porodnictví a sociální nerovnosti mezi rodičkami." Sociologický časopis, roč. 44, č. 1: 87-111. Go to original source...
  16. Johanson, R., Newburn, M., MacFarlane, A., 2002. "Has the medicalisation of childbirth gone too far?" British Medical Journal, Vol. 324, No. 7342: 892-895. Go to original source...
  17. Lazarus, E. 1994. "What do women want? Issues of Choice, Control, and Class in Pregnancy and Childbirth." Medical Anthropology Quarterly, Vol. 8, No. 1: 25-46. Go to original source...
  18. Liamputtong, P. 2005. "Birth and Social Class: Northern Thai Women's Lived Experiences of Caesarean and Vaginal Birth." Sociology of Health and Illness, Vol. 27, No. 2: 243-270. Go to original source...
  19. Lippman, A. 1999. "Choice as a risk to women's health." Health, risk and society, Vol. 1, No. 3: 281-291. Go to original source...
  20. Lupton, D. 1994. Medicine as Culture. Illness, Disease and the Body in Western Societies. London: Sage.
  21. Martin, E. 1990. "The Ideology of Reproduction: The Reproduction Ideology." Pp. 300-314 in Ginsburg, F., Tsing, A. L. (eds.). Uncertain terms: negotiating gender in American culture. Boston: Beacon Press.
  22. Martin, K. A. 2003. "Giving birth like a girl." Gender and Society, Vol. 17, No. 1: 54-72. Go to original source...
  23. Nelson, M. K. 1982. "The Effect of Childbirth Preparation on Women of Different Social Classes." Journal of Health and Social Behavior, Vol. 23, No. 4: 339-352. Go to original source...
  24. Nettleton, S. 2006. The Sociology of Health and Ilness. Cambridge: Polity Press.
  25. Pasveer, B., Akrich, M. 2001. "Obstetrical trajectories. On training women/bodies for (home) birth." Pp. 229-242 in DeVries, R. et al. (eds.). Birth by Design. Pregnancy, Maternity Care, and Midwifery in North America and Europe. New York: Routledge.
  26. Plummer, K. 2003. Intimate Citizenship. Private decisions and public dialogues. Seattle, London: University of Washington Press.
  27. Pollock, D. 1999. Telling Bodies, performing birth. Everyday narratives of childbirth. New York: Columbia University Press.
  28. Reiger, K., Dempsey, R. 2006. "Performing birth in a culture of fear: an embodied crisis of late modernity." Health Sociology Reveiew, Vol. 15, No. 4: 364-373. Go to original source...
  29. Susen, S. 2010. "The Transformation of citizenship in complex societies." Journal of Classical Sociology, Vol. 10, No. 3: 259-285. Go to original source...
  30. Šmídová, I. 2008. "Otcovství u porodu. Re-konstrukce genderových vztahů v rodině." Sociální studia, Vol. 5, No. 1: 11-34. Go to original source...
  31. ÚZIS. 2010. Rodička a novorozenec 2009.[online] Praha: Ústav zdravotnických informací a statistiky ČR [cit. 20. 4. 2011]. Dostupné z: < http://www.uzis.cz/publikace/rodicka-novorozenec-2009>.
  32. Waldenström, U. 2007. "Normal childbirth and evidence-based practice." Women and Birth Vol. 20, No. 4: 175-180. Go to original source...
  33. WHO, UNICEF. 2009. Baby friendly Hospital Initiative. Background and Implementation (section 1).[online]. Geneva: World Health organization, UNICEF, Wellstart International [cit. 27. 3. 2011]. Dostupné z: <http://www.who.int/nutrition/publications/infantfeeding/9789241594950/en/index.html>.
  34. WHO. 1996. Care in normal birth: a practical guide. [online]. Geneva: World Health Organization [cit. 7. 8. 2011]. Dostupné z: <http://whqlibdoc.who.int/hq/1996/WHO_FRH_MSM_96.24.pdf>.
  35. Woliver, L. R. 2002. The Political geographies of pregnancy. Urbana and Chicago: University of Illinois Press.
  36. Young, D. 2009. "What is normal childbirth and do we need more statements about it?" Editorial." Birth, Vol. 36, No. 1: 1-3. Go to original source...
  37. Zadoroznyj, M. 1999. "Social Class, Social Selves and Social Control in Childbirth." Sociology of Health and Illness, Vol. 21, No. 3: 267-289. Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.