scholarly journals Woman’s Needs and Satisfaction Regarding the Communication with Doctors and Midwives during Labour, Delivery and Early Postpartum

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 382
Author(s):  
Barbara Baranowska ◽  
Paulina Pawlicka ◽  
Iwona Kiersnowska ◽  
Alicja Misztal ◽  
Anna Kajdy ◽  
...  

The study aimed to identify the difference in communication needs of women giving birth and women during early postpartum. An additional goal includes the analysis of the experience and communication needs through the context of a woman’s approach to childbirth. The study is a cross-sectional, self-report survey; 521 women between 5 and 10 days after birth participated in the study. Women perceived information provided by the medical staff as the most helpful aspect of verbal communication both during labour and early postpartum. Maintaining eye contact with the medical staff was perceived as the most helpful aspect of non-verbal communication. Women were more satisfied with communication during labour and birth than in the maternity ward and those after non-instrumental childbirth were more satisfied with communication compared to the instrumental birth group. Women perceiving childbirth as the natural, physiological process considered verbal and non-verbal communication during and after childbirth as less helpful than women perceiving birth as more risky and requiring interventions. The results of the study emphasize the importance of verbal and non-verbal communication during birth and early postpartum and at the same time different communication needs during these two time points. It also showed that women who perceive labour as a physiological process seem to be less dependent on the communication with the medical staff than women who accept medical interventions during labour and birth as necessary.

Author(s):  
Barbara Baranowska ◽  
Paulina Pawlicka ◽  
Iwona Kiersnowska ◽  
Alicja Misztal ◽  
Anna Kajdy ◽  
...  

The study aims to identify the difference in communication needs of women giving birth and women during puerperium. An additional goal includes the analysis of the experience and communication needs through the context of a woman's approach to childbirth. The study is a prospective, cross-sectional, self-report survey. 521 women between 5 and 10 days after birth participated in the study. Women perceived information provided by the medical staff as the most helpful aspect of verbal communication both during labour and puerperium. Maintaining eye contact with the medical staff was perceived as the most helpful aspect of non-verbal communication. Women were more satisfied with communication during labour and birth than in the maternity ward and those after non-instrumental childbirth were more satisfied with communication compared to the instrumental birth group. Women perceiving childbirth as the natural, physiological process considered verbal and non-verbal communication during and after childbirth as less helpful than women perceiving birth as more risky and requiring interventions. The results of the study emphasize the importance of verbal and non-verbal communication during birth and puerperium and different communication needs during labour and early postpartum. It also showed that women who perceive labour as a physiological process seem to be less dependent on the communication with the medical staff than women who accept medical interventions during labour and birth as necessary.


2019 ◽  
Vol 12 (3) ◽  
pp. 134-145 ◽  
Author(s):  
Amjad Mohamadi-Bolbanabad ◽  
Ghobad Moradi ◽  
Bakhtiar Piroozi ◽  
Hossein Safari ◽  
Heshmatollah Asadi ◽  
...  

Purpose The purpose of this paper is to determine the second victims’ experience and its related factors among medical staff. Design/methodology/approach This research is a cross-sectional study that was conducted in public hospitals of Sanandaj, west of Iran, in 2017. The sample consisted of 338 medical staff including physicians, nurses and mid-wives. A self-report questionnaire was used for data collection. Descriptive statistics, cross-tabs and χ2 test were used for data analysis using SPSS20. Findings A total of 51.5 percent (n=174) of the medical staff had experienced medical error in the past year, of which 90.2 percent (n=157) had at least one of the symptoms of “second victims.” Tachycardia and sleep disturbances were the most commonly referred physical symptoms with 73 and 51.7 percent, respectively. Also, repetitive/intrusive memories and fear of reputation damage were the most commonly referred psychosocial symptoms with 68.3 and 51.7 percent, respectively. The experience of physical and psychosocial symptoms was different according to the occupational category. In addition, there was a significant association between the experience of physical symptoms with the hospital administrators’ awareness of medical errors and the consequences of medical errors for patients. Practical implications Adoption of coping strategies, including learning from medical errors as well as hospital administrators’ support from second victims, is recommended. It is also suggested that medical staff be informed about the consequences of medical errors as well as physical and psychological symptoms of second victims so that they can ask for help from managers and colleagues when the symptoms occur. Originality/value This study outlines the prevalence, the most psychological and physical symptoms, and the demographic and occupational factors associated with the second victim phenomenon in medical staff. Also, the most important strategies for coping with this phenomenon are prioritized from the perspective of medical staff.


Author(s):  
Amir Vahedian-Azimi ◽  
Malihe Sadat Moayed ◽  
Farshid Rahimibashar ◽  
Sajad Shojaei ◽  
Sara Ashtari ◽  
...  

Abstract Background: Coronavirus Disease 2019 (COVID-19) pandemic has caused serious psychological problems, such as panic attack, anxiety, stress and depression. The main objective of this study was to measure the prevalence and compare the severity of this psychological distress among four groups of Iranian population.Method: In cross-sectional survey, the mental health status of four groups of Iranian society such as community population, patients with COVID-19, medical staff and medical students were investigated by self-report questionnaire Depression, Anxiety and Stress Scale (DASS). DASS-21 questionnaire and the demographic data sheet were filled in by all participants. All statistical analyses were done using SPSS version 21.0. P-values less than 0.05 were considered statistically significant.Results: Of the 886 participants in this survey, 554 (62.5%) were male and 332 (37.5%) were female, and the mean ± standard division (SD) age of subjects was 40.91±10.7 years. Among these participants, 241 (27.2%) were selected from community population, 221 (24.9%) were patients with COVID-19, 217 (24.5%) were medical staff and 207 (23.4%) were medical students. The mean score of stress, anxiety and depression in medical students and patients with COVID-19 was significantly higher than medical staff and community population (P<0.05). In overall, the score of anxiety level in male was higher than that in female (27.4±4.6 vs. 26.48±4.8, P=0.006), and the score of depression in unmarried participants was significantly higher than that in married group (27.5±4.8 vs. 26.7±4.6, P=0.023). In addition, the score of depression in female medical staff (27.08±4.6 vs. 25.33±4.3, P=0.011) and community population (26.6±4.3 vs. 25.3±4.3, P=0.02) was higher than that in male.Conclusion: In COVID-19 pandemic, the severity of anxiety, stress and depression was high among Iranian population. Patients with COVID-19 and medical students who spent time with patients with COVID-19, with low experience than professional medical staff and community population were at high risk for mental illness. Continuous surveillance and monitoring of psychological distress for outbreaks should become routine as part of preparedness efforts worldwide.


2012 ◽  
Vol 15 (9) ◽  
pp. 1678-1682 ◽  
Author(s):  
Phillippa Lally ◽  
Lucy Cooke ◽  
Laura McGowan ◽  
Helen Croker ◽  
Naomi Bartle ◽  
...  

AbstractObjectiveMisperception of social norms may result in normalising unhealthy behaviours. The present study tested the hypothesis that parents overestimate both the frequency of unhealthy snacking in pre-school children other than their own (descriptive norms) and its acceptability to other parents (injunctive norms).DesignA cross-sectional, self-report community survey. Questions assessed the frequency with which respondents’ own child ate unhealthy snacks and their beliefs about the appropriate frequency for children to snack. Perceived descriptive norms were assessed by asking parents to estimate how often other 2–4 year-old children in their area ate snacks. Perceived injunctive norms were assessed by asking them about other parents’ beliefs regarding the appropriate frequency for snacks. Misperceptions were assessed from (i) the difference between the prevalence of daily snacking and parents’ perceived prevalence and (ii) the difference between acceptability of daily snacking and parents’ beliefs about its acceptability to others.SettingPre-schools and children's centres in one borough of London, UK.SubjectsParents (n 432) of children age 2–4 years.ResultsOn average, parents believed that more than half of ‘other’ children had snacks at least daily, while prevalence data indicated this occurred in only 10 % of families. The same discrepancy was observed for perceived injunctive norms: parents overestimated other parents’ acceptance of frequent snacking, with two-thirds of parents having a self v. others discrepancy.ConclusionsMisperceptions were identified for descriptive and injunctive norms for children's snacking. Accurate information could create less permissive norms and motivate parents to limit their child's intake of unhealthy snacks.


2019 ◽  
Vol Volume 13 ◽  
pp. 381-387 ◽  
Author(s):  
Xiaoqian Deng ◽  
Shuqing Liang ◽  
Hui Li ◽  
Divakara Gouda ◽  
Tao Zhu ◽  
...  

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Anil Kumar Jain ◽  
Sandeep Kumar

Background: Eating disorders (ED) are common conditions that have gained increasing attention over the last two decades. This study was conducted to correlate the eating disorder with body weight dissatisfaction (BWD) and body shape dissatisfaction (BSD) in study population. Materials & Methods: This study was conducted in department of Psychiatry in year 2012. It was cross sectional type of study conducted on 2360 patients visited the department with any psychiac disorders. Patient information regarding name, age, gender etc was recorded. Body mass index (BMI) was also recorded. Patients were asked to reply the Eating aptitude test (EAT) and BSQ questionnaire. EAT is 26 items evaluated attitudes, feelings and preoccupations in relation to food and weight. The BSQ is a self-report, 34 items questionnaire that evaluates feelings of low self-esteem, the desire to lose weight and body dissatisfaction. For detecting body shape dissatisfaction (BSD), Cooper and Taylor classification was used. The BSD value, <81-slight BSD value, 81- 110- moderate BSD and BSD value 111-140- extreme BSD. For detecting BWD, discrepancy between students current and desired weight was considered. Results: Out of 520 patients, 250 (48%) were males and 270 (51%) were females. 40% (208) had BSD, 60% (312) had BWD, 20% (104) had positive EAT, 60% (338) had normal weight, 10 % (52) had underweight and 25% (130) had overweight. The magnitudes of BSD in patients with positive EAT. 94 patients (90%) with a positive EAT expressed BSD. Out of 104 slightly dissatisfied BSD patients, 26 had positive EAT. Of 56 moderately dissatisfied BSD patients, 54 had positive EAT. Of 48 severely dissatisfied BSD patients, 14 had positive EAT. The difference was significant (P<0.05). Patients with overweight had significantly higher BSD, BWD and positive EAT Conclusion: Eating disorders are increasing day by day. This is an alarming signal for most of the people and westernization is playing important role in this. There is need to educate the people psychologically also.


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.


Crisis ◽  
2020 ◽  
Vol 41 (4) ◽  
pp. 288-295 ◽  
Author(s):  
Nadia Bounoua ◽  
Jasmeet P. Hayes ◽  
Naomi Sadeh

Abstract. Background: Suicide among veterans has increased in recent years, making the identification of those at greatest risk for self-injurious behavior a high research priority. Aims: We investigated whether affective impulsivity and risky behaviors distinguished typologies of self-injurious thoughts and behaviors in a sample of trauma-exposed veterans. Method: A total of 95 trauma-exposed veterans (ages 21–55; 87% men) completed self-report measures of self-injurious thoughts and behaviors, impulsivity, and clinical symptoms. Results: A latent profile analysis produced three classes that differed in suicidal ideation, suicide attempts and nonsuicidal self-injury (NSSI): A low class that reported little to no self-injurious thoughts or behaviors; a self-injurious thoughts (ST) class that endorsed high levels of ideation but no self-harm behaviors; and a self-injurious thoughts and behaviors (STaB) class that reported ideation, suicide attempts and NSSI. Membership in the STaB class was associated with greater affective impulsivity, disinhibition, and distress/arousal than the other two classes. Limitations: Limitations include an overrepresentation of males in our sample, the cross-sectional nature of the data, and reliance on self-report measures. Conclusion: Findings point to affective impulsivity and risky behaviors as important characteristics of veterans who engage in self-injurious behaviors.


Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.


2018 ◽  
Vol 39 (2) ◽  
pp. 76-87 ◽  
Author(s):  
Buaphrao Raphiphatthana ◽  
Paul Jose ◽  
Karen Salmon

Abstract. Grit, that is, perseverance and passion for long-term goals, is a novel construct that has gained attention in recent years ( Duckworth, Peterson, Matthews, & Kelly, 2007 ). To date, little research has been performed with the goal of identifying the antecedents of grit. Thus, in order to fill this gap in the literature, self-report data were collected to examine whether mindfulness, a mindset of being-in-the-present in a nonjudgmental way, plays a role in fostering grittiness. Three hundred and forty-three undergraduate students completed an online survey once in a cross-sectional study, and of these, 74 students completed the survey again 4.5 months later. Although the cross-sectional analyses identified a number of positive associations between mindfulness and grit, the longitudinal analysis revealed that the mindfulness facets of acting with awareness and non-judging were the most important positive predictors of grit 4.5 months later. This set of findings offers implications for future grit interventions.


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