没有进步,还是正常? 在分娩期间生理学高原的构造主义立足理论
Marina Weckend1, Kylie McCullough1, Christine Duffield2
1School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
Women and birth : journal of the Australian College of Midwives
|October 22, 2023
概括
助产士认为分娩高原是正常的生理休息,而不是无法进步. 这挑战了医学化的观点,并促进了对正常分娩变异的认可,以获得更好的出生结果.
科学领域:
- 产科和妇科 产科和妇科
- 助产科学 助产科学 助产科学
- 孕产妇健康研究研究
背景情况:
- "没有进展"是一种常见的,在分娩时定义不良的诊断,往往导致干预.
- 一些劳动减速可能代表正常的生理高原,而不是病理.
研究的目的:
- 调查助产士对分娩期间生理高原的理解.
- 确定这些高原对分娩进展和分娩结果的影响.
主要方法:
- 与20名澳大利亚助产士进行半结构面试 (2020年9月至2022年2月).
- 使用构造主义立足理论进行分析,包括多相编码和恒定比较.
- 通过参与者数据支持的生理高原的新理论的开发.
主要成果:
- 劳动高原的概念化与医疗保健专业人员的哲学有所不同.
- 医学主导范式将高原视为病态.
- 整体助产师范式承认高原是生理,自我调节,并与积极的出生结果相关.
结论:
- 医疗产妇护理可能会误解生理高原为病理.
- 这项研究倡导重新定义正常劳动,挑战"未能取得进展"的概念.
- 它强调了分娩哲学在产妇护理实践中的重要性.
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