Childbirth experiences of immigrant women in Chile: Trading human rights and autonomy for dignity and good care.

Midwifery
Jovita Ortiz ContrerasJael Quiroz

Abstract

Childbirth is a transcendent life experience but may also be a moment of great vulnerability, especially when it occurs outside the mother's country of origin. To explore the perceptions and experiences of Spanish-speaking immigrant women regarding the healthcare they received during labour and childbirth in Santiago, Chile. This qualitative, transcendental phenomenological research was performed at two maternity hospitals using purposive criterion sampling. Eighteen individual and two group interviews were conducted. The resulting information was transcribed and then coded and categorised using phenomenological analysis. Six categories were extracted from the narratives which reflect a pragmatic relationship with the healthcare team that included a perception of 'justified' lack of care. The mothers' exercise of autonomy was subjugated by power-knowledge relations between the women and caregiver that compelled them to refrain from expressing their needs and preferences out of fear of abuse. The women valued emotional support, pain relief and satisfaction of needs in association with medical procedures and companionship. The women rated their experiences as positive if they avoided mistreatment and, as 'the essence of the exper...Continue Reading

References

Mar 20, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·J P SouzaM Temmerman
Dec 11, 2014·Annual Review of Public Health·Heide CastañedaJames Quesada
May 2, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·Ӧ TunçalpF Bustreo
May 16, 2015·BMC Pregnancy and Childbirth·Gunilla SydsjöAnn Josefsson
Aug 20, 2015·Journal of Family Medicine and Primary Care·Lawrence Leung
Dec 23, 2015·Journal of Graduate Medical Education·Arianne TeheraniLara Varpio
Sep 9, 2018·Midwifery·Estela ArcosChristine Bailey
Apr 7, 2019·Perspectives on Medical Education·Brian E NeubauerLara Varpio

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