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BIRTH PLAN FROM THE PERSPECTIVE OF WOMEN AND MIDWIVES (COMPARISON)

E. Urbanova, E. Maskalova, M. Gaherova

Abstract

Introduction: A birth plan is a way to express a maternal preferences during childbirth. Sometimes doctors and midwives show a feeling of distrust of birth plans. The aim of this work is to find out how is used birth plan in practice. We focused mainly on the degree of respect birth plan by midwives and maternal satisfaction with the use of birthing plan. Methods: The research method was a questionnaire of its own design. One for women who used the birth plan during labour, second one for midwives. The questionnaire was distributed via Internet. The sample consisted of 100 respondents. 50 midwives with a working average of 14.02 (±11,48) years in practice and 50 mothers in average age of 30.54 (± 6,89). Data were processed using basic descriptive statistics. Results: Based on the results it is possible to conclude that use of birth plans are increasing. The most common maternal preferences in the birth plans were: bonding after birth (92%), presence of support person (partner 86%), change positions throughout I. stage of labour (78%), alternative positions for II. stage of labour (70%), and giving priority to spontaneous disruption of tissue in the perineum area before episiotomy (68%). In most cases have been planned preferences respected and 54% of women said they birth plan was helpful. On the other hand, midwives said that women with BP aren’t more satisfied and is more difficult working with them, but they try to respect the BP. The most frequent midwives have respected partner at birth (100%), possibility of changing positions in I. stage of labour (96%) and hydrotherapy (98%). The least respected were the requirements of spontaneous, uncontrolled pushing (70%), requirements regarding genital shaving (don't shaving of genital 66%) and enema application (don't administer enema 40%). Conclusion: The results point to the fact that midwives and mothers have a different perception of practical use birth plan. Mothers are more satisfied with the use of birth plan and they recommend the use of birth plan in 96 %. All midwives reported that birth plan respects, but they recommend the use of birth plan for women in labour only in 46%.

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DOI resolver: doi.org/10.5593/sgemsocial2017/33/S12.013

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