妇女在伊朗实施生理分娩计划的经验:定性内容分析研究
Azam Moridi1, Parvin Abedi2, Mina Iravani2
1Department of Midwifery, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Frontiers in global women's health
|June 1, 2023
概括
妇女在伊朗的生理分娩计划中经历了积极和消极的结果. 该计划减少了恐惧,改善了人们对阴道分娩的态度,但在服务和可访问性方面面临挑战.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 医学上不必要的剖腹产率的上升是一个全球性的问题.
- 世界卫生组织 (WHO) 建议进行生理分娩计划,以减少不必要的CS.
- 了解妇女的经历对于有效实施这些计划至关重要.
研究的目的:
- 探索和解释妇女在伊朗实施生理分娩计划时的经历.
- 识别导致项目中积极和消极体验的因素.
- 为改善产科护理和降低CS率提供见解.
主要方法:
- 采用了一种定性,混合方法的方法.
- 与参加生理分娩课程 (2022年1月至6月) 的女性进行了15次半结构面试.
- 使用传统的内容分析来分析采访数据,使用MAXQDA10软件.
主要成果:
- 两个主要主题出现了:积极的经验 (怀孕的满意度,愉快的分娩) 和负面的经验 (计划的限制,公共产科服务不足).
- 准备生育课程减少了恐惧和压力,培养了对阴道分娩的积极态度.
- 有效的助产士沟通和支持增强了疼痛管理和满意度.
结论:
- 生理分娩计划可以通过减少恐惧和改善态度,积极影响妇女的分娩经历.
- 解决方案实施的局限性和改善公共产科服务对于成功至关重要.
- 政策制定者应该专注于可访问性和质量改善,以支持生理分娩.
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