A critical review: developing a birth integrity framework for epidemiological studies through meta-ethnography

BMC Women's Health

Research

Lisa Wandschneider¹  Oliver Razum¹  Stephanie Batram-Zantvoort¹  Céline Miani² 

[1] Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany;Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany;Sexual and Reproductive Health and Rights Research Unit, Institut National d’Études Démographiques (Ined), Aubervilliers, France;

关键词: Disrespect and abuse;    Respectful maternity care;    Maternal health;    Childbirth experiences;    Mistreatment;    Obstetric violence;    Birth integrity framework;    Meta-ethnography;   

DOI  :  10.1186/s12905-023-02670-z

 received in 2022-11-17, accepted in 2023-09-21,  发布年份 2023

来源: Springer

【 摘 要 】

Over the past decade, there has been growing evidence that women worldwide experience sub-standard care during facility-based childbirth. With this critical review, we synthesize concepts and measurement approaches used to assess maternity care conditions and provision, birth experiences and perceptions in epidemiological, quantitative research studies (e.g., obstetric violence, maternal satisfaction, disrespect or mistreatment during childbirth, person-centered care), aiming to propose an umbrella concept and framework under which the existing and future research strands can be situated. On the 82 studies included, we conduct a meta-ethnography (ME) using reciprocal translation, in-line argumentation, and higher-level synthesis to propose the birth integrity multilevel framework. We perform ME steps for the conceptual level and the measurement level. At the conceptual level, we organize the studies according to the similarity of approaches into clusters and derive key concepts (definitions). Then, we ‘translate’ the clusters into one another by elaborating each approach’s specific angle and pointing out the affinities and differences between the clusters. Finally, we present an in-line argumentation that prepares ground for the synthesis. At the measurement level, we identify themes from items through content analysis, then organize themes into 14 categories and subthemes. Finally, we synthesize our result to the six-field, macro-to-micro level birth integrity framework that helps to analytically distinguish between the interwoven contributing factors that influence the birth situation as such and the integrity of those giving birth. The framework can guide survey development, interviews, or interventional studies.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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