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Left powerless: A qualitative social media content analysis of the Dutch #breakthesilence campaign on negative and traumatic experiences of labour and birth

Left powerless: A qualitative social media content analysis of the Dutch #breakthesilence campaign on negative and traumatic experiences of labour and birth
Left powerless: A qualitative social media content analysis of the Dutch #breakthesilence campaign on negative and traumatic experiences of labour and birth
Introduction
Disrespect and abuse during labour and birth are increasingly reported all over the world. In 2016, a Dutch client organization initiated an online campaign, #genoeggezwegen (#breakthesilence) which encouraged women to share negative and traumatic maternity care experiences. This study aimed (1) to determine what types of disrespect and abuse were described in #genoeggezwegen and (2) to gain a more detailed understanding of these experiences.

Methods
A qualitative social media content analysis was carried out in two phases. (1) A deductive coding procedure was carried out to identify types of disrespect and abuse, using Bohren et al.’s existing typology of mistreatment during childbirth. (2) A separate, inductive coding procedure was performed to gain further understanding of the data.

Results
438 #genoeggezwegen stories were included. Based on the typology of mistreatment during childbirth, it was found that situations of ineffective communication, loss of autonomy and lack of informed consent and confidentiality were most often described. The inductive analysis revealed five major themes: ‘‘lack of informed consent”; ‘‘not being taken seriously and not being listened to”; ‘‘lack of compassion”; ‘‘use of force”; and ‘‘short and long term consequences”. “Left powerless” was identified as an overarching theme that occurred throughout all five main themes.

Conclusion
This study gives insight into the negative and traumatic maternity care experiences of Dutch women participating in the #genoeggezwegen campaign. This may indicate that disrespect and abuse during labour and birth do happen in the Netherlands, although the current study gives no insight into prevalence. The findings of this study may increase awareness amongst maternity care providers and the community of the existence of disrespect and abuse in Dutch maternity care, and encourage joint effort on improving care both individually and systemically/institutionally.
1932-6203
van der Pijl, Marit S.G.
245370da-6f35-4c7b-8e63-5affda97cf79
Hollander, Martine H.
166e6f9d-45a4-4e7f-9e04-f4c1c5101892
van der Linden, Tineke
862f0453-75de-4658-a0b2-0f30c7a8cfa2
Verweij, Rachel
82433846-8442-4161-89fb-200e54ef0f65
Holten, Lianne
aea8f98b-cd66-4d66-8ecb-43d044bd5596
Kingma, Elselijn
24f1e065-3004-452c-868d-9aee3087bf63
de Jonge, Ank
94fee0ab-2d06-489c-bc41-f69648e65b49
Verhoeven, Corine J.M.
0189e1bd-ebdc-491b-9dc6-c211458d8236
van der Pijl, Marit S.G.
245370da-6f35-4c7b-8e63-5affda97cf79
Hollander, Martine H.
166e6f9d-45a4-4e7f-9e04-f4c1c5101892
van der Linden, Tineke
862f0453-75de-4658-a0b2-0f30c7a8cfa2
Verweij, Rachel
82433846-8442-4161-89fb-200e54ef0f65
Holten, Lianne
aea8f98b-cd66-4d66-8ecb-43d044bd5596
Kingma, Elselijn
24f1e065-3004-452c-868d-9aee3087bf63
de Jonge, Ank
94fee0ab-2d06-489c-bc41-f69648e65b49
Verhoeven, Corine J.M.
0189e1bd-ebdc-491b-9dc6-c211458d8236

van der Pijl, Marit S.G., Hollander, Martine H., van der Linden, Tineke, Verweij, Rachel, Holten, Lianne, Kingma, Elselijn, de Jonge, Ank and Verhoeven, Corine J.M. (2020) Left powerless: A qualitative social media content analysis of the Dutch #breakthesilence campaign on negative and traumatic experiences of labour and birth. PLoS ONE, 15 (5), [e0233114]. (doi:10.1371/journal.pone.0233114).

Record type: Article

Abstract

Introduction
Disrespect and abuse during labour and birth are increasingly reported all over the world. In 2016, a Dutch client organization initiated an online campaign, #genoeggezwegen (#breakthesilence) which encouraged women to share negative and traumatic maternity care experiences. This study aimed (1) to determine what types of disrespect and abuse were described in #genoeggezwegen and (2) to gain a more detailed understanding of these experiences.

Methods
A qualitative social media content analysis was carried out in two phases. (1) A deductive coding procedure was carried out to identify types of disrespect and abuse, using Bohren et al.’s existing typology of mistreatment during childbirth. (2) A separate, inductive coding procedure was performed to gain further understanding of the data.

Results
438 #genoeggezwegen stories were included. Based on the typology of mistreatment during childbirth, it was found that situations of ineffective communication, loss of autonomy and lack of informed consent and confidentiality were most often described. The inductive analysis revealed five major themes: ‘‘lack of informed consent”; ‘‘not being taken seriously and not being listened to”; ‘‘lack of compassion”; ‘‘use of force”; and ‘‘short and long term consequences”. “Left powerless” was identified as an overarching theme that occurred throughout all five main themes.

Conclusion
This study gives insight into the negative and traumatic maternity care experiences of Dutch women participating in the #genoeggezwegen campaign. This may indicate that disrespect and abuse during labour and birth do happen in the Netherlands, although the current study gives no insight into prevalence. The findings of this study may increase awareness amongst maternity care providers and the community of the existence of disrespect and abuse in Dutch maternity care, and encourage joint effort on improving care both individually and systemically/institutionally.

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journal.pone.0233114 - Version of Record
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More information

Accepted/In Press date: 28 April 2020
Published date: 12 May 2020

Identifiers

Local EPrints ID: 442131
URI: http://eprints.soton.ac.uk/id/eprint/442131
ISSN: 1932-6203
PURE UUID: 3f01b6d2-4119-45b0-be7c-555d78d9933f

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Date deposited: 07 Jul 2020 16:50
Last modified: 27 Apr 2022 10:25

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Contributors

Author: Marit S.G. van der Pijl
Author: Martine H. Hollander
Author: Tineke van der Linden
Author: Rachel Verweij
Author: Lianne Holten
Author: Elselijn Kingma
Author: Ank de Jonge
Author: Corine J.M. Verhoeven

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