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Revista Matronas

Revista Matronas

SEPTIEMBRE 2017 N° 2 Volumen 5

Which is the attitude of pregnant women towards labor?

Section: Originales

Authors

Juan Antonio Torres Martínez

Position

Matrón colegiado en la Comunidad Valenciana

Contact email: juanantorres88@hotmail.com

Abstract

Introduction/objective: it is a fact that during the past 10 years, there have been changes in Spain regarding care and assistance during labor; the starting point was La Carta de Madrid (“The Madrid Letter”) (2005), followed by the Strategy for Care in Normal Delivery by the Ministry of Health (2008), and other subsequent documents and initiatives. All these have been focused on ensuring and strengthening a safe and decent care for birth, and encouraging the recovery and reappropriation by women of their pregnancy and labor, which not only involves applying the best scientific evidence in professional care, but also an active involvement of women in decision making during their process. This requires positive attitudes and adequate knowledge, which in turn will provide feedback for professional knowledge, in order to suggest changes always targeted to increasing the quality and efficacy of care, and the satisfaction with it.
The objective is to understand the components of the attitude towards labor in pregnant women with delivery at term (> 37 GWs) managed at the Obstetrics and Gynaecology Unit of the Hospital Lluís Alcanyís de Xàtiva (Valencia) between July, 15th, 2015 and September, 15th, 2015.
Material and methods: an observational transversal study. An ad hoc form was prepared for data collection. There was a descriptive analysis of sociodemographical and obstetric variables, of the components of the attitude of pregnant women (cognitive, emotional and behavioural) and of the level of involvement by their partners.
Results: a detailed description of the attitude components (cognitive, emotional and behavioural) of pregnant women, with the following obstetric and sociodemographical characteristics: nulliparous women (65.3%), with 39 GWs and low-risk pregnancy (55.1%). 67.4% within the 30-to-39-year old range, 39.4% with university education, with paid employment (60%), married (70.5%) and Spanish (91.6%).
Discussion and conclusions: despite all changes conducted by health professionals and administrations, women attitudes are not responding to the change in strategies. Health professionals must take an active role at all times, since the initial screening, in order to promote an essential community involvement where women, the key figures in labor, must adopt a favourable attitude, and become responsible for their own process.

Keywords:

pregnant women; attitude towards health; maternal behaviour; centres for assistance to pregnancy and labor; health knowledgeattitudes and practice

Versión en Español

Título:

¿Cuál es la actitud de las mujeres gestantes ante el parto?

Artículo completo no disponible en este idioma / Full article is not available in this language

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