Pregnant women autonomy when choosing their way of delivery: scoping review

Author:

Silva Carlos Henrique Mascarenhas1,Laranjeira Claudia Lourdes Soares2,Pinheiro Wallisson Fonseca2,de Melo Carolina Soares Barros2,Silva Vitor de Oliveira Campos e3,Brandão Augusto Henrique Fulgêncio2,Rego Francisca1,Nunes Rui1

Affiliation:

1. Faculty of Medicine of the University of Porto

2. Obstetrics and Gynecology Unit - Mater Dei Health Network

3. School of Medical Sciences of Minas Gerais

Abstract

Abstract Background Women autonomy during labour is an important issue that obstetricians and assistant teams must be conscious and aware of when attending maternity and hospitals. The objective was to conduct a scoping review in order to study the literature and evidence of how autonomy is being offered to the parturient. Methods In December 2022, research was done using the terms “pregnant women” AND “birth” AND “autonomy” in the following databases: PubMed, Web of Science, Scopus, Scielo and LILACS. The research included articles from 2016 to 2022. Of the 173 articles found, 7 met the criteria selected by researchers and were considered in this review. Results When women have the autonomy to choose on their own, their preference is for vaginal birth. When the decision is made together with the healthcare team, the incidence of caesarean section is greater. Autonomy and the perception of this practice is obtained when the medical staff listens and consider the woman’s will, thus respecting the woman’s choice of childbirth. Conclusion Pregnant women want to choose their method of birth, and autonomy is an important aspect to get satisfaction during their labour and childbirth. This participation is feasible and does not affect the safety of giving birth or the perinatal results, when duly researched and followed-up.

Publisher

Research Square Platform LLC

Reference30 articles.

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4. No. 361-Caesarean Delivery on Maternal Request;Alsayegh E;J Obstet Gynaecol Can,2018

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