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‘Nobody in a maternity hospital really talks to you’: socialist legacies and consumerism in Czech women’s childbirth narratives

100%
Hrešanová E.
Sociologický časopis. Czech Sociological Review
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2014
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vol. 50
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issue 6
961-985
EN
This article aims to show how eight women, most of them with higher education, experienced, perceived, and understood birth care in the context of the post-socialist transformation in the Czech Republic. It is based on narrative interviews and a thematic analysis of them. From a description of women’s birth-care experiences the author finds that women are most critical of the behaviour of health-care workers and the lack of communication provided by the system. Discussing the narrators’ birth-care requirements she notes the strategies women use to attain the form of care they wished. Finally, the author observes that the women she interviewed exhibit diverse understandings of birth care, on which basis the author identifies five distinct notions of birth care that differ in three key aspects: (1) women’s attitudes to medical interventions; (2) their awareness of birth care; (3) their subjectivity and position in relation to birth-care providers. These ranged from complete acceptance of the way in which birth care is provided, to notions that are critical but accepting of medicalised care, to a rejection of the medical model of birth care and the assumption of ‘a responsible consumer’ subjectivity. The article in particular looks at women’s disillusionment with birth care and interprets it in relation to clashing ideas about the relationship between birthcare provider and user associated on one hand with the socialist past and on the other with neo-liberal discourses on health.
2
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Porodní péče a zkušenosti českých žen: kvalitativní studie

100%
Hrešanová E.
Gender, rovné příležitosti, výzkum (Gender, Equal Opportunities, Research)
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2011
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vol. 12
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issue 2
63-74
EN
Focusing on Czech birth care, this article examines the birth experience of 40 women who gave birth in different maternity hospitals during the past seven years. It investigates how these women approached birth care and what ideas they had about it. The article builds on semi ‑structured and narrative interviews with postpartum women, which were conducted within two different research projects. The interviewees differed in many aspects and especially in their general approach to childbirth issues and their interest in the subject. Several key issues emerged out of the thematic analysis of interviews: fear of childbirth, birth care evaluations, priorities and demands, and strategies of their enforcement. These issues are part of a wider concept of birth care, and five different conceptions of birth care were identified in the women’s birth narratives. They reflect different attitudes to the medicalization of birth care, different levels of knowledge and interest in childbirth issues, and different perceptions of their own position in the context of care provision.
3
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Migrace a porod : sociální aspekty prolínání dvou životních změn ve výzkumu perinatálního zdraví žen

51%
Pařízková A., Hrešanová E., Glajchová A.
Sociologický časopis. Czech Sociological Review
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2018
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vol. 54
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issue 1
63-100
EN
When the experiences of migration and becoming a mother intersect, the context and conditions of this have implications for the health of the women and their children. This article presents an overview of social-science research on health and pregnancy among migrant women and on the perinatal and postpartum care they receive. Research on 124 studies on this subject revealed that there are three main themes associated with maternal health in this context: (1) How women are defined and categorised as migrants: This is often based on a single indicator, country of origin or birth. This creates a simplified and homogenising category that then also serves as the basis for the use of more complex categories. (2) The significance of social support for families, especially with respect to informal care, and the fundamental role of language and language barriers in health care. The relationship between migrant women and health-care providers is impacted by cultural differences, which leave women in a vulnerable position. (3) Macro-sociological and epidemiological factors. These are discussed mainly from the perspective of the ‘epidemiological paradox’, which the authors here deem a rhetorical trick because it conceals the variableness of the findings obtained from perinatal health indicators.
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