Saygılı Annelik Bakımı
Özet
Saygılı Annelik Bakım anlayışı, insan haklarına ve etik ilkelere saygılı, bireyi merkeze alan, kadınların tercihlerini ve ihtiyaçlarını gözeten, yenidoğanı önemseyen uygulamaları teşvik eden bütüncül ve kanıta dayalı bir yaklaşım benimsenmektedir. Saygılı annelik bakımı ile kadınların var olandan memnun olmaları değil olumlu bir doğum deneyimi yaşamalarını sağlayarak, sağlıklı olmalarına ve geliştirmelerine katkıda bulunabilmektedir. Saygıyı hisseden kadınlar doğum konusunda az endişelenirken daha fazla katılımcı olabilmektedirler. Doğum ortamı da hem kadının sağlık sonuçlarını ve refahını hem de ebenin çalışma performansını etkileyebilmektedir. Kötü tasarlanmış doğum odaları daha az güvenlidir, kadınlar için zarara yol açabilir ve çalışanlar için de kötü çalışma alanları hale gelebilir. Saygılı annelik bakımı etkileyen risk faktörleri, birey ve sistem düzeyinde birbirini etkileyen eş merkezli dairelerden oluşan ekolojik model ile gösterilmektedir. Saygılı bakımı temin etmek için bu risk faktörlerine yönelik müdahalelerin tek başına kullanılmaması gerekir. Çeşitli risk faktörlerine yönelik müdahalelerin entegre edilerek uygulanması, değişim olasılığını artıracaktır.
Respectful Maternity Care is a holistic and evidence-based approach that respects human rights and ethical principles, focuses on the individual, considers women's preferences and needs, and promotes practices that prioritise the newborn. Respectful maternity care contributes to women's health and development by ensuring that they have a positive birth experience rather than simply being satisfied with what is available. Women who feel respected are less anxious about childbirth and can be more participatory. The birth environment can also affect both the woman's health outcomes and well-being and the midwife's work performance. Poorly designed delivery rooms are less safe, can cause harm to women, and can also become poor working environments for staff. Risk factors affecting respectful maternity care are illustrated by an ecological model consisting of interrelated circles at the individual and system levels. To ensure respectful care, interventions targeting these risk factors should not be used in isolation. Integrating interventions targeting various risk factors will increase the likelihood of change.
Referanslar
WHO. Intrapartum care for a positive childbirth experience [Internet]. 2018. [cited 2025 Mar 01] Available from: http://apps.who.int/iris/bitstream/10665/260178/1/9789241550215-eng.pdf?ua=1%0Ahttp://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/
Reis V, Deller B, Senior M, Advisor M, Carr C. Respectful Maternity Care country experiences survey report [Internet]. 2012 [cited 2025 Mar 15]. Available from: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://content.sph.harvard.edu/wwwhsph/sites/2413/2016/12/RMC-Survey-Report_0.pdf
WHO Reproductive Maternal Newborn Child and Adolescent Health Directorate. Respectful Maternity Care orientation package for health care providers [Internet]. Ministry of Public Health. 2017 [cited 2025 Mar 15]. Available from: https://platform.who.int/docs/default-source/mca-documents/policy-documents/operational-guidance/afg-mn-32-01-operationalguidance-2017-eng-523476805-respectful-maternity-care-providers.pdf
The White Ribbon Alliance for Safe Motherhood. Respectful maternity care: The universal rights of childbearing women. The White Ribbon Alliance for Safe Motherhood [Internet]. 2011;1–6. [cited 2025 Mar 15]. Available from: http://whiteribbonalliance.org/wp-content/uploads/2013/10/Final_RMC_Charter.pdf
Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth report of a landscape analysis. Harvard School of Public Health University Research Co, LLC [Internet]. 2010;1–57. [cited 2025 Mar 15]. Available from: http://www.urc-chs.com/uploads/resourceFiles/Live/RespectfulCareatBirth9-20-101Final.pdf
Byrom S, Downe S. Doğumun Sessiz Çığlıkları. Sayıner FD, Çömezoğlu E, editors. Ankara: Akademisyen Kitabevi; 2021.
Deki S, Choden J. Assess knowledge, attitude and practices of respectful maternity care among nurse midwives in Referral Hospitals of Bhutan. Bhutan Health Journal. 2018 May 13;4(1):1–7. https://doi.org/10.47811/bhj.50
International Federation of Gynecology and Obstetrics. Ethical framework for respectful maternity care during pregnancy and childbirth [Internet]. 2021 Sep [cited 2025 Mar 13]. Available from: www.figo.org/resources/figo-statements/ethical-framework-respectful-maternity-care-during-pregnancy-and-childbirth
Ratcliffe HL. Creatıng an evıdence base for the promotıon of respectful maternıty care. [Boston, Massachusetts]: Faculty of the Department of Global Health and Population Harvard School of Public Health; 2013. [cited 2025 Mar 13]. Available from: https://www.mhtf.org/document/creating-an-evidence-base-for-the-promotion-of-respectful-maternity-care/
Paudel N. Respectful Maternity Care. Journal of Kathmandu Medical College. 2022;11(3):135–6. https://doi.org/10.3126/jkmc.v11i3.50781
World Health Organization, WHO. Maternal mortality. 2023 [cited 2025 Mar 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
White Ribbon Alliance. UN special rapporteur on violence against women submission from the white ribbon alliance [Internet]. 2016 [cited 2025 Mar 15]. Available from: https://www.ohchr.org/sites/default/files/Documents/Issues/Women/SR/ReproductiveHealthCare/White_Ribbon_Alliance.docx
Durgun S, Şen S, Tayhan E. Ulusal ve uluslararası ebelik etik kodları. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;5(4):218–23.
International Confederation of Midwives. ICM. International code of ethics for midwives. 2008 [cited 2025 Mar 15]. Available from: https://internationalmidwives.org/resources/international-code-of-ethics-for-midwives/
Kömürcü N. Doğum ağrısı ve yönetimi. 2. Basım. İstanbul: Nobel Tıp Kitabevleri; 2014.
White Ribbon Alliance. Office of the high commissioner for human rights submission from the global respectful maternity care council [Internet]. 2018 [cited 2025 Mar 15]. Available from: https://www.ohchr.org/sites/default/files/Documents/Issues/Women/WRGS/FollowUp2018/GlobalRespectfulMaternityCareCouncil.pdf
Hammond, A, Homer CSE, Foureur M. Friendliness, functionality and freedom: Design characteristics that support midwifery practice in the hospital setting. Midwifery. 2017 Jul 1;50:133–8. https://doi.org/10.1016/j.midw.2017.03.025
International Federation of Gynecology and Obstetrics. Health system strengthening and respectful care [Internet]. 2021 [cited 2025 Mar 13]. Available from: www.figo.org/resources/figo-statements/health-system-strengthening-and-respectful-care
