BACKGROUND: Many women experience giving birth as a negative or even as a traumatic event. Birth space and its occupants are fundamentally interconnected with negative and traumatic experiences, highlighting the importance of the social space of birth. AIM: To explore experiences of women who have had a negative or traumatic birth to identify the value, sense and meaning they assign to the social space of birth. METHODS: A feminist standpoint theory guided the research. Secondary discourse analysis of 51 qualitative data sets/transcripts from Dutch and Czech Republic postpartum women and 551 free-text responses of the Babies Born Better survey from women in the United Kingdom, Netherlands, Belgium, Germany, Austria, Spain, and the Czech Republic. FINDINGS: Three themes and associated sub-themes emerged: 1. The institutional dimension of social space related to staff-imposed boundaries, rules and regulations surrounding childbirth, and a clinical atmosphere. 2. The relational dimension of social space related to negative women-healthcare provider interactions and relationships, including notions of dominance, power, authority, and control. 3. The personal dimension of social space related to how women internalised and were affected by the negative social dimensions including feelings of faith misplaced, feeling disconnected and disembodied, and scenes of horror. DISCUSSION/CONCLUSION: The findings suggest that improving the quality of the social space of birth may promote better birth experiences for women. The institutional, relational, and personal dimensions of the social space of birth are key in the planning, organisation, and provision of maternity care.

• MeSH
• kvalitativní výzkum MeSH
• lidé MeSH
• poporodní období MeSH
• porod MeSH
• porodnictví * MeSH
• služby zdravotní péče o matku * MeSH
• těhotenství MeSH
• vedení porodu škodlivé účinky   metody   MeSH
• Check Tag
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Beginning in the early 1980s, medical experts and birthing women increasingly voiced criticism of what had long been the technocratic, depersonalized nature of obstetric treatment in Czechoslovakia, despite the limited opportunities for them to do so publicly. A few maternity hospitals responded to the complaints by introducing radically different regimens of care. This article examines the history of one reformist project that took place in the small town of Ostrov nad Ohří. Ostrov means "island" in Czech and, during the last decade of Communist rule in Czechoslovakia, the Ostrov hospital became an island of alternative obstetric care, embracing Leboyer's method of "gentle birthing," acupuncture, fathers in delivery rooms, and assorted technological innovations that aimed to spark fundamental change in familial and social relationships, and humanize childbirth. While many medical professionals decried these reforms as nonsensical and dangerous, a number of parents-to-be flocked to Ostrov to give birth, circumventing the official rules mandating that they receive healthcare in their area of residence. This proactive consumerist behavior among expectant parents, in tandem with the call of some physicians for more attention to individual and family needs, despite the opposing official political discourse, is evidence of a grassroots movement for market-oriented principles in healthcare that reflected broader societal change during the last decade of the Communist regime.

• MeSH
• dějiny 20. století MeSH
• dospělí MeSH
• lidé MeSH
• ošetřovatelství v péči o matku a dítě dějiny   metody   MeSH
• porod psychologie   MeSH
• porodnice organizace a řízení   MeSH
• socialismus dějiny   MeSH
• těhotenství MeSH
• vedení porodu dějiny   psychologie   MeSH
• Check Tag
• dějiny 20. století MeSH
• dospělí MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• historické články MeSH

• MeSH
• lékařská etika MeSH
• lidé MeSH
• odmítnutí terapie pacientem * etika   zákonodárství a právo   MeSH
• poporodní období etika   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH

• MeSH
• dobrovolní pracovníci MeSH
• komunikace MeSH
• morálka MeSH
• poskytování zdravotní péče MeSH
• právní odpovědnost MeSH
• profesionalita MeSH
• sociologie MeSH
• veřejné zdravotnické služby MeSH
• vztahy mezi lékařem a pacientem MeSH
• vztahy mezi zdravotnickým pracovníkem a pacientem MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Sociologie
• NLK Obory
• sociologie
• veřejné zdravotnictví

• MeSH
• dítě MeSH
• kojenec MeSH
• kojení psychologie   MeSH
• lidé MeSH
• novorozenec MeSH
• poporodní období psychologie   MeSH
• porod * fyziologie   psychologie   MeSH
• porodní asistentky psychologie   MeSH
• porodnické ošetřovatelství normy   MeSH
• postnatální péče * metody   psychologie   využití   MeSH
• rozhovory jako téma MeSH
• vztahy mezi matkou a dítětem psychologie   MeSH
• vztahy mezi ošetřovatelkou a pacientem MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• novorozenec MeSH
• ženské pohlaví MeSH

• MeSH
• etnologie MeSH
• interpersonální vztahy MeSH
• komplexní management jakosti MeSH
• koordinovaný terapeutický postup MeSH
• kultura MeSH
• pacienti hospitalizovaní MeSH
• porodnice MeSH
• porodnictví MeSH
• programy řízené péče MeSH
• zdravotnický personál MeSH

• Konspekt
• Gynekologie. Porodnictví
• NLK Obory
• gynekologie a porodnictví
• sociologie
• NLK Publikační typ
• studie