1. Objectifs

Intentions :
«Our purpose for this article [...] is to identify the perceptions of professionals, administrators, and women, on the humanization of childbirth care in one particular tertiary hospital to identify the factors that might have hindered the implementation of such care in these hospitals.» (p. 129)

Questions/Hypothèses :
«Women undergoing a highrisk situation have more difficulty coping with their diagnosis and thus the humanization of care in high-risk pregnancy cases should go beyond simply curing women of their illness. One can question the nature of care that is sought by women confronted with a high-risk pregnancy or labor. Can the humanized birth care approach, as defined in the literature, apply to their case? What kind of care would women with complicated or without complicated pregnancies or deliveries expect in a highly specialized hospital? What are the perceptions of health care professionals and administrators toward humanized birth in such an institution?» (p. 127-128)

2. Méthode

Échantillon/Matériau :
«The sample in the study consisted of the following (a) professionals: six nurses, three obstetricians, one pediatrician, and one anesthetist; (b) six administrators from different hierarchical levels of the hospital, including executive management of client programs, quality and risk management, management of clinical services, and management of nursing care; and (c) 10 primipara and multipara women.» (p. 130)

Instruments :
Guide d’entretien semi-directif

Type de traitement des données :
Analyse de contenu

3. Résumé

«The health care professionals who provide humanized birth care to women in a tertiary hospital setting should consider all the physiological, as well as psychological aspects of birth care including respect of the fears, beliefs, values, and needs of women and their families. The continued presence of a care provider during labor and the reception of continued physical and psychological support is the best advocate of humanized births in a tertiary hospital. Promoting family-centered care strategies in the sense of strengthening the family’s bond with the baby, participating in the care and sharing responsibilities whenever possible, as well as providing a link of communication between family and care provider are shown to be facilitating factors for a humanized birth care approach in both cases of low and high obstetric risk. Nevertheless, the perceptions of humanized birth in a tertiary hospital cannot be understood without the notion of security and reassurance.» (p. 146)