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A Woman´s in Childbed Birth Plan and Its Possibilities of Application on Delivery Room
MEHRABIANOVÁ, Aneta
A Woman's in Childbed Birth Plan and Its Possibilities of Application on Delivery Room In the life of woman, we can consider the birth of child just like an entering the unknown. It is easy to find a lot of informations about labour and birth, but the process is very individual each time and even the woman in childbed herself can hardly estimate her reactions in the face of new experiences. Maybe this is why many women are preparing their birth plan. The purpose of birth plan is to inform the obstetrician and the midwives about woman's wishes and ideas about her labour. Nowadays, relatively strong disagreement against routine way of childbirth in Czech midwifery is raising and women in childbed are urging to introduce new principles in midwifery and childbirth passing. They want changes not only in rules based in law, but also in ethic rules in maternity facilities. That´s why the obstetricians and midwives should respect reasonable wishes of their clients and consider whether their ideas about labour were fulfilled. A research, which was based on checklist method for purpose of probing of acceptability and applying czech women's birth plans in some of czech maternity clinics was carried out, together with appropriate documentation of reasons and matters which led to not fulfilling the client´s birth plan. In purpose of confirm our hypothesis, that client´s birth plans are not applied in labour wards, 102 women were asked to fill in the checklist. Only women which had the birth plan in their childbirthing took part of this research. The questions in the checklist were related to the content of their birth plan and level of fulfilling of their wishes. If those were not fulfilled, women were asked to name main reasons and matters of this. Subjective opinions of women are mentioned in this checklist. The result of this research displays that birth plan was totally fulfilled to 34 (33,33 %) asked women, 54 (52,94 %) asked women was fulfilled more likely, 13 (12,75 %) asked women was fulfilled less likely and in case of 1 (0,98 %) asked women was their birth plan unfulfilled at all. Although some of women´s requests were not granted, 88 (86,27 %) czech women were generally satisfied with fulfilling of their birth plans. The contentment of clients is one of the most important indicators of quality of medical and nursing care provided in labour ward, because the satisfying or unsatisfying of client´s needs during the labour reflects adequately in the consciousness of the client as subjectively felt satisfaction or unsatisfaction with provided care. Satisfied women in childbed trust much more in their physicians and midwives and moreover they cooperate much better with them during the labour. I believe that this work will inspire pregnant women to work out their own birth plan, that designing of birth plan is ideal theoretic preparation to a childbirth and maternity and that will lead to creating of different view on women entering the labour ward with their own birth plans.
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