Povezanost pričakovanj o porodu in doživljanja izkušnje poroda : magistrsko delo

Praznik, Maša (author), Rijavec Klobučar, Nataša (mentor)

V pričujočem magistrskem delu avtorica raziskuje povezanost pričakovanj o porodu in živete izkušnje poroda, povezanost odnosa med pričakovanji in doživljanjem živete izkušnje poroda ter prvega stika z novorojenim otrokom. V teoretičnem delu magistrskega dela predstavi ključne predpostavke odnosa med pričakovanji, tvorjenjem le-teh in doživljanjem poroda ter prvega stika z otrokom. Osredotoči se na občutja avtonomije, podpore, zaupanja vase, odnosa z zdravstvenim osebjem in doživljanje porodne izkušnje. Izpostavi tudi vlogo izbire porodnega okolja in obporodne nege. Opiše pomen mehanizma navezanosti pri odnosu matere in otroka, pomen stika odrasle navezanosti matere in povezanosti poporodne depresije in navezanosti. V empiričnem delu s pomočjo kvalitativne metodologije raziskuje povezanost fenomena izkušnje poroda in ustvarjenih pričakovanj o porodu ter odnos te povezanosti do doživljanja porodne izkušnje. V raziskavo je bilo vključenih deset žensk, ki so prvič izkusile fenomen poroda, od katerega je minilo najmanj pol leta in največ dve leti. Povprečna starost udeleženk je bila 29,8 let, vse so prihajale iz osrednjeslovenske regije. Osem intervjuvank je imelo vaginalen porod, dve pa porod s carskim rezom. Na podlagi desetih intervjujev z materami, ki so prvič doživele porodno izkušnjo, avtorica ugotavlja povezanost med občutji avtonomije in živeto izkušnjo poroda ter pozitivnim doživljanjem porodne izkušnje. Rezultati so izpostavili povezanost doživljanja porodne izkušnje in občutja podpore prisotnih pri porodu. Občutje podpore se je izpostavilo predvsem kot osebni odnos zdravstvenega osebja, v sklopu katerega so bile porodnice prepoznane kot individualne osebe, njihove želje pa so bile spoštovane. Rezultati so pokazali, da je občutje avtonomije med porodom povezano z odnosom z zdravstvenim osebjem, kar je tesno prepleteno z možnostjo soodločanja o medicinskih intervencijah in drugih okoliščinah poroda. Rezultati so pokazali tudi na povezanost pričakovanj o porodu in doživljanja živete porodne izkušnje, kjer se razhajanje med pričakovanji in izkušnjo kaže v bolj negativnem vrednotenju poroda, skladje med pričakovanji in izkušnjo pa se kaže v bolj pozitivnem vrednotenju te izkušnje. Ključnega pomena sta, glede na rezultate raziskave, občutje avtonomije in možnost nadzora lastne porodne izkušnje. Nenazadnje rezultati kot dejavnik, ki je povezan s prvim stikom med materjo in otrokom ter vzpostavljanjem začetne navezanosti, prikazujejo tudi povezanost med skladjem oziroma neskladjem med pričakovanji in živeto izkušnjo.

• Language: Slovenian
• Keywords: porod, doživljanje poroda, pričakovanja, navezanost, avtonomija, podpora, odnos z zdravstvenim osebjem, fenomenološka metoda
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: TEOF - Theological Faculty
• Place of publishing: Ljubljana
• Publisher: [M. Praznik]
• Year: 2020
• Number of pages: V, 84 str.
• PID: 20.500.12556/RUL-119642
• UDC: 159.93:618.4/.5(043.2)
• COBISS.SI-ID: 31216643
• Publication date in RUL: 10.09.2020

PRAZNIK, Maša, 2020, Povezanost pričakovanj o porodu in doživljanja izkušnje poroda : magistrsko delo [online]. Master’s thesis. Ljubljana : M. Praznik. [Accessed 7 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=119642

Secondary language

• Language: English
• Title: Relationship between expectations of childbirth and experiencing childbirth

Abstract

In her master's thesis, the author explores the connection of birth expectations and lived birth experience, the relationship between the two and connection to mother and newborn first contact. In theoretical section of this thesis the author presents main presumptions of relationship between expectations, formation of expectations and experience of childbirth. The focus is on feelings of agency, support, trust and confidence in self and relationship with health workers. It continues to set out important factors of birth environment and care during birth. The author describes importance of mother adult attachment style and its relationship to postpartum depression. In the empirical section of this thesis, qualitative method with phenomenological approach was implied. The specific phenomenon of childbirth experience and created expectations was focal point of this research. For the research of this phenomenon, the author conducted ten phenomenological interviews with prim parous women, from their birth experience passed at least six months and not more than two years. The average age of participants was 29,8 years and they all lived in central Slovenia. Eight women had vaginal birth and two had a caesarian section. Based on conducted interviews of first time mothers the author found correlation between feelings of agency during childbirth and positive evaluation of childbirth experience and correlation between birth experience and feeling of support from others humans present at birth. Feeling of support was especially emphasized in relationship with healthcare workers in which the support was shown as the woman was recognized as an individual person and their wishes were respected. The feeling of agency during childbirth was correlated with relationship and interactions with healthcare workers, which is then correlated to ability to make decisions about medical interventions and other factors of birth environment. Furthermore there was shown correlation between birth expectations and birth experience, where discrepancy between the two is connected to more negative assessment of birth experience, whereas concordance of expectations and experience is connected to more positive birth assessment. The main aspects of this research were; the feeling of agency and possibility of control over childbirth and decisions regarding the process. Last but not least the factor connected to first contact between mother and newborn and the beginning of forming an attachment was in part also the discrepancy or concordance of birth expectations and birth experience.

• Keywords: childbirth, childbirth experience, childbirth expectations, attachment, women's agency, support, patient-caregiver relationship, phenomenology