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Facilitators and barriers in the humanization of childbirth practice in Japan

BACKGROUND: Humanizing birth means considering women's values, beliefs, and feelings and respecting their dignity and autonomy during the birthing process. Reducing over-medicalized childbirths, empowering women and the use of evidence-based maternity practice are strategies that promote humani...

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Autores principales: Behruzi, Roxana, Hatem , Marie, Fraser , William, Goulet , Lise, Ii, Masako, Misago, Chizuru
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2889847/
https://www.ncbi.nlm.nih.gov/pubmed/20507588
http://dx.doi.org/10.1186/1471-2393-10-25
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author Behruzi, Roxana
Hatem , Marie
Fraser , William
Goulet , Lise
Ii, Masako
Misago, Chizuru
author_facet Behruzi, Roxana
Hatem , Marie
Fraser , William
Goulet , Lise
Ii, Masako
Misago, Chizuru
author_sort Behruzi, Roxana
collection PubMed
description BACKGROUND: Humanizing birth means considering women's values, beliefs, and feelings and respecting their dignity and autonomy during the birthing process. Reducing over-medicalized childbirths, empowering women and the use of evidence-based maternity practice are strategies that promote humanized birth. Nevertheless, the territory of birth and its socio-cultural values and beliefs concerning child bearing can deeply affect birthing practices. The present study aims to explore the Japanese child birthing experience in different birth settings where the humanization of childbirth has been indentified among the priority goals of the institutions concerned, and also to explore the obstacles and facilitators encountered in the practice of humanized birth in those centres. METHODS: A qualitative field research design was used in this study. Forty four individuals and nine institutions were recruited. Data was collected through observation, field notes, focus groups, informal and semi-structured interviews. A qualitative content analysis was performed. RESULTS: All the settings had implemented strategies aimed at reducing caesarean sections, and keeping childbirth as natural as possible. The barriers and facilitators encountered in the practice of humanized birth were categorized into four main groups: rules and strategies, physical structure, contingency factors, and individual factors. The most important barriers identified in humanized birth care were the institutional rules and strategies that restricted the presence of a birth companion. The main facilitators were women's own cultural values and beliefs in a natural birth, and institutional strategies designed to prevent unnecessary medical interventions. CONCLUSIONS: The Japanese birthing institutions which have identified as part of their mission to instate humanized birth have, as a whole, been successful in improving care. However, barriers remain to achieving the ultimate goal. Importantly, the cultural values and beliefs of Japanese women regarding natural birth is an important factor promoting the humanization of childbirth in Japan.
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spelling pubmed-28898472010-06-23 Facilitators and barriers in the humanization of childbirth practice in Japan Behruzi, Roxana Hatem , Marie Fraser , William Goulet , Lise Ii, Masako Misago, Chizuru BMC Pregnancy Childbirth Research article BACKGROUND: Humanizing birth means considering women's values, beliefs, and feelings and respecting their dignity and autonomy during the birthing process. Reducing over-medicalized childbirths, empowering women and the use of evidence-based maternity practice are strategies that promote humanized birth. Nevertheless, the territory of birth and its socio-cultural values and beliefs concerning child bearing can deeply affect birthing practices. The present study aims to explore the Japanese child birthing experience in different birth settings where the humanization of childbirth has been indentified among the priority goals of the institutions concerned, and also to explore the obstacles and facilitators encountered in the practice of humanized birth in those centres. METHODS: A qualitative field research design was used in this study. Forty four individuals and nine institutions were recruited. Data was collected through observation, field notes, focus groups, informal and semi-structured interviews. A qualitative content analysis was performed. RESULTS: All the settings had implemented strategies aimed at reducing caesarean sections, and keeping childbirth as natural as possible. The barriers and facilitators encountered in the practice of humanized birth were categorized into four main groups: rules and strategies, physical structure, contingency factors, and individual factors. The most important barriers identified in humanized birth care were the institutional rules and strategies that restricted the presence of a birth companion. The main facilitators were women's own cultural values and beliefs in a natural birth, and institutional strategies designed to prevent unnecessary medical interventions. CONCLUSIONS: The Japanese birthing institutions which have identified as part of their mission to instate humanized birth have, as a whole, been successful in improving care. However, barriers remain to achieving the ultimate goal. Importantly, the cultural values and beliefs of Japanese women regarding natural birth is an important factor promoting the humanization of childbirth in Japan. BioMed Central 2010-05-27 /pmc/articles/PMC2889847/ /pubmed/20507588 http://dx.doi.org/10.1186/1471-2393-10-25 Text en Copyright ©2010 Behruzi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Behruzi, Roxana
Hatem , Marie
Fraser , William
Goulet , Lise
Ii, Masako
Misago, Chizuru
Facilitators and barriers in the humanization of childbirth practice in Japan
title Facilitators and barriers in the humanization of childbirth practice in Japan
title_full Facilitators and barriers in the humanization of childbirth practice in Japan
title_fullStr Facilitators and barriers in the humanization of childbirth practice in Japan
title_full_unstemmed Facilitators and barriers in the humanization of childbirth practice in Japan
title_short Facilitators and barriers in the humanization of childbirth practice in Japan
title_sort facilitators and barriers in the humanization of childbirth practice in japan
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2889847/
https://www.ncbi.nlm.nih.gov/pubmed/20507588
http://dx.doi.org/10.1186/1471-2393-10-25
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