Subjective Birth Experience and Person-Centred Care in Obstetrics: Study Protocol of the Prospective Mixed-Methods Research Project RESPECT

Bianka Vollert; Nina Schurig; Vanessa Zieß; Victoria Weise; Lara Seefeld; Ariane Göbel; Cahit Birdir; Pauline Wimberger; Susan Garthus-Niegel

doi:10.1055/a-2551-3705

Geburtshilfe und Frauenheilkunde, Inhaltsverzeichnis

CC BY 4.0 · Geburtshilfe Frauenheilkd
DOI: 10.1055/a-2551-3705

GebFra Science

Original Article

Subjective Birth Experience and Person-Centred Care in Obstetrics: Study Protocol of the Prospective Mixed-Methods Research Project RESPECT

Subjektives Geburtserleben und personenzentrierte Versorgung in der Geburtshilfe: Studienprotokoll des prospektiven Mixed-Methods-Forschungsprojekts RESPECT

Bianka Vollert

¹Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Hamburg, Germany (Ringgold ID: RIN686782)

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

,

Nina Schurig

¹Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Hamburg, Germany (Ringgold ID: RIN686782)

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

³Institute for Medical Information Processing, Biometry, and Epidemiology, Pettenkofer School of Public Health, Ludwig-Maximilians-University Munich, Munich, Germany

,

Vanessa Zieß

¹Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Hamburg, Germany (Ringgold ID: RIN686782)

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

,

Victoria Weise

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

,

Lara Seefeld

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

⁴Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

,

Ariane Göbel

¹Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Hamburg, Germany (Ringgold ID: RIN686782)

⁵Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany (Ringgold ID: RIN37734)

,

Cahit Birdir

⁶Department of Gynecology and Obstetrics, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany

,

Pauline Wimberger

⁶Department of Gynecology and Obstetrics, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany

,

Susan Garthus-Niegel

¹Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Hamburg, Germany (Ringgold ID: RIN686782)

²Institute and Policlinic of Occupational and Social Medicine, TUD Dresden University of Technology, Dresden, Germany (Ringgold ID: RIN59988)

⁷Department of Childhood and Families, Norwegian Institute of Public Health, Oslo, Norway (Ringgold ID: RIN25563)

› Institutsangaben

Abstract

Background

The interdisciplinary research project RESPECT (A Prospective Mixed-Methods-REsearch Project on Subjective Birth Experience and PErson-centred Care in ParenTs and Obstetric Health Care Staff) aims to investigate the subjective birth experience of (expectant) parents in Germany and associated factors before, during, and after childbirth, including care-related aspects such as person-centred care and mistreatment during childbirth. In addition, the perspective of obstetric health care staff regarding their role in parents’ subjective birth experience and person-centred care in obstetrics are explored.

Methods

RESPECT_PARENTS is a prospective cohort study targeting a community sample of expectant parents in the Dresden area with four assessment points from pregnancy to 24 months postpartum using online questionnaires and a structured telephone interview. Applying a mixed-methods approach, the main study is complemented by a sub-study with parents (RESPECT_PARENTS-TALK) and an additional study branch with obstetric health care staff (RESPECT_STAFF), both using qualitative interviews.

Results

In this study protocol, the theoretical background, methods, and first results regarding sociodemographic and birth-related variables of the sample (N = 2424 participants including n = 1693 expectant mothers/birthing parents and n = 731 partners) are presented and discussed.

Conclusion

The data will provide meaningful insights into parents’ subjective birth experience and health-related effects over time, considering the perspectives of both parents and the obstetric health care staff. The findings can contribute to the development of strategies to improve obstetric health care according to the latest WHO recommendations and the German national health goal “Health around childbirth”, and thus to prevent traumatic birth experiences.

Zusammenfassung

Hintergrund

Ziel des interdisziplinären Forschungsprojekts RESPECT („A Prospective Mixed-Methods-REsearch Project on Subjective Birth Experience and PErson-centred Care in ParenTs and Obstetric Health Care Staff“) ist eine gezielte Untersuchung des subjektiven Geburtserlebens (werdender) Eltern in Deutschland sowie der damit in Zusammenhang stehenden Faktoren vor, während und nach der Geburt einschließlich versorgungsbezogener Aspekte wie die personenzentrierte Geburtshilfe sowie Gewalterfahrungen unter der Geburt. Daneben wird auch die Perspektive des geburtshilflichen Personals bezüglich der eigenen Rolle für das subjektive Geburtserleben der Eltern und der personenzentrierten Versorgung in der Geburtshilfe erforscht.

Methoden

Bei RESPECT_PARENTS handelt es sich um eine prospektive Kohortenstudie, in der werdende Eltern aus der Allgemeinbevölkerung im Raum Dresden zu 4 Zeitpunkten, beginnend von der Schwangerschaft bis 2 Jahre nach der Geburt, mittels Onlinefragebögen und einem Telefoninterview befragt werden. Entsprechend des Mixed-Methods-Ansatzes wird die Hauptstudie durch eine Teilstudie mit teilnehmenden Eltern (RESPECT_PARENTS-TALK) und einen zusätzlichen Studienzweig mit geburtshilflichem Personal (RESPECT_STAFF) ergänzt, wobei jeweils qualitative Interviews durchgeführt werden.

Ergebnisse

In diesem Studienprotokoll werden der theoretische Hintergrund, die verwendeten Methoden und erste Ergebnisse hinsichtlich soziodemografischer und geburtsbezogener Merkmale der Stichprobe (n = 2424 Teilnehmer*innen, darunter n = 1693 werdende Mütter/gebärende Elternteile und n = 731 Partner*innen) vorgestellt und diskutiert.

Schlussfolgerung

Die Daten werden aufschlussreiche Erkenntnisse über das elterliche subjektive Geburtserleben und gesundheitsbezogene Auswirkungen im Zeitverlauf liefern, während die Perspektiven sowohl der Eltern als auch des geburtshilflichen Personals berücksichtigt werden. Die Ergebnisse sollen zur Entwicklung von Strategien zur Verbesserung der geburtshilflichen Versorgung gemäß den neuesten Empfehlungen der WHO und des nationalen Gesundheitsziels „Gesundheit rund um die Geburt“ in Deutschland beitragen und damit auch traumatischen Geburtserlebnissen vorbeugen.

Keywords

subjective birth experience - person-centred care - obstetric violence/mistreatment - parental mental health - mixed-methods

Schlüsselwörter

subjektives Geburtserleben - personenzentrierte Versorgung - Gewalt in der Geburtshilfe - elterliche psychische Gesundheit - Mixed-Methods

Volltext

Referenzen

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