Format du dépôt |
Fichier |
Type de dépôt |
Article dans une revue |
Titre |
en
‘A caesarean section is like you've never delivered a baby’: A mixed methods study of the experience of childbirth among French women
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Résumé |
en
The experience of childbirth has been technologized worldwide, leading to major social changes. In France, childbirth occurs almost exclusively in hospitals. Few studies have been published on the opinions of French women regarding obstetric technology and, in particular, caesarean section. In 2017–2018, we used a mixed methods approach to determine French women's preferences regarding the mode of delivery, and captured their experiences and satisfaction in relation to childbirth in two maternity settings. Of 284 pregnant women, 277 (97.5%) expressed a preference for vaginal birth, while seven (2.5%) women expressed a preference for caesarean section. Vaginal birth was also preferred among 26 women who underwent an in-depth interview. Vaginal birth was perceived as more natural, less risky and less painful, and to favour mother–child bonding. This vision was shared by caregivers. The women who expressed a preference for vaginal birth tended to remain sexually active late in their pregnancy, to find sexual intercourse pleasurable, and to believe that vaginal birth would not enlarge their vagina. A large majority (94.5%) of women who gave birth vaginally were satisfied with their childbirth experience, compared with 24.3% of those who underwent caesarean section. The caring attitude of the caregivers contributed to increasing this satisfaction. The notion of women's ‘empowerment’ emerged spontaneously in women's discourse in this research: women who gave birth vaginally felt satisfied and empowered. The vision shared by caregivers and women that vaginal birth is a natural process contributes to the stability of caesarean section rates in France.
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Auteur(s)
|
Clémence Schantz
1, 2, 3
, Anne Charlotte Pantelias
4, 5
, Myriam de Loenzien
2, 3
, Marion Ravit
2
, Patrick Rozenberg
6, 7
, Christine Louis-Sylvestre
8
, Sophie Goyet
1
IFM - Inserm U1270 - SU -
Institut du Fer à Moulin
( 569982 )
- 17 rue du Fer à Moulin 75005 Paris.
- France
-
Institut National de la Santé et de la Recherche Médicale U1270 ( 303623 )
;
-
Sorbonne Université UMRS_1270 ( 413221 )
2
SAGESUD - ERL Inserm U1244 -
Santé, vulnérabilités et relations de genre au sud
( 1004842 )
- Ceped
Université Paris-Descartes
45 rue des Saints-Pères
75006 Paris
FRANCE
- France
-
Institut National de la Santé et de la Recherche Médicale U1244 ( 303623 )
;
-
Centre population et développement ( 1004841 )
;
-
Institut de Recherche pour le Développement ( 67872 )
;
-
Université Paris Cité UMR_D 196 ( 557826 )
3
CEPED - UMR_D 196 -
Centre population et développement
( 1004841 )
- 45 rue des Saints-Pères
75006 Paris
- France
-
Institut de Recherche pour le Développement ( 67872 )
;
-
Université Paris Cité UMR_D 196 ( 557826 )
4
UVSQ Santé -
Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil
( 472222 )
- 2 avenue de la Source de la Bièvre - 78180 Montigny-le-Bretonneux
- France
-
Université de Versailles Saint-Quentin-en-Yvelines ( 81173 )
5
ESF Foch -
École de sages-femmes Hôpital Foch
( 558041 )
- Hôpital Foch - 11 rue Guillaume Lenoir - 92150 Suresnes
- France
-
Hôpital Foch [Suresnes] ( 410109 )
6
RISCQ -
Risques cliniques et sécurité en santé des femmes et en santé périnatale
( 221529 )
- UFR Simone Veil
2 avenue de la source de la Bièvre
78180 Montigny-le-Bretonneux
- France
-
Université de Versailles Saint-Quentin-en-Yvelines UR7285 ( 81173 )
7
Centre hospitalier intercommunal de Poissy/Saint-Germain-en-Laye - CHIPS [Poissy]
( 523466 )
- Site de Poissy
10 rue du Champ Gaillard - Poissy
Site de Saint-Germain-en-Laye
20 rue Armagis - Saint-Germain-en-Laye
- France
8
IMM -
Institut Mutualiste de Montsouris
( 350579 )
- 42 Boulevard Jourdan, 75014 Paris
- France
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Date de publication |
2021-03
|
Date de publication électronique |
2020-11-20
|
Langue du document |
Anglais
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Volume |
12
|
Page/Identifiant |
69-78
|
Nom de la revue |
|
Domaine(s) |
-
Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Gynécologie et obstétrique
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Sciences de l'Homme et Société/Sociologie
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Financement |
-
We would like to thank all women who participated in this study; the student midwives who administered the cohort questionnaires (Marie Choquel, Elisabeth Meot, Jessica Narboni and Inès Vaudry); Alexandre Dumont for his advice on the research; Virginie Rozée for her advice on a first draft of this article; MSH-Paris Nord for technical and financial support; and Fondation Mustela who funded publication of this article.
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Projet(s) ANR |
-
L'hypermédicalisation des naissances comme problème public : trajectoires matérielles, controverses publiques, changements institutionnels
[En savoir plus]
HYPMEDPRO -
ANR-16-CE36-0001
AAPG2016
- 2016
|
Mots-clés |
en
biomedicalization, biotechnology, childbirth, gender, satisfaction, sexuality
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DOI |
10.1016/j.rbms.2020.10.003 |
Base Horizon |
fdi:010082464 |
Pubmed Id |
33354630 |
PubMed Central |
PMC7744624 |