Women’s Perceptions of the Medicalization of Pregnancy and Their Preferred Models of Care: A Qualitative Analysis

Abstract: The concept of women-centered care during pregnancy and childbirth has received increasing attention. It addresses the question of the right degree of medical care during pregnancy. Consequently, it further opens a debate about the medicalization of pregnancy, which puts pregnancy into the realm of medicine and treats it as a medical problem. The experience of pregnancy and childbirth plays an essential role in the well-being of both the mother and the future child and is influenced by women’s autonomy and freedom of choice. The aim of this study is to explore the perceptions and perspectives of women on the medicalization of pregnancy and childbirth. The study illuminates the women’s belief about whether pregnancy and childbirth should be a medicalized process to a greater or lesser degree, focusing on their preferred models of care and the implications for healthcare providers. In-depth interviews with 37 women of various backgrounds and experiences were conducted as part of a national qualitative study in Switzerland. A thematic analysis identified key themes and patterns. Two important aspects related to women’s autonomy emerged: the possibility of defining and positioning pregnancy and childbirth according to their own beliefs and life practices, and the freedom to choose the preferred model of care for their pregnancy. The findings suggest that healthcare providers should offer personalized models of care and support women’s specific needs, ensuring genuine choice and integrating authentic informed consent into the decision-making process.