"我别无选择":一项混合方法研究,研究了阴道后分娩患者获得护理的机会
Robyn Schafer1,2, Mary S Dietrich3, Holly Powell Kennedy4
1Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, New Jersey, USA.
Birth (Berkeley, Calif.)
|November 16, 2023
概括
许多寻求阴道后分娩的人面临着有限的医院接入,导致他们追求家庭分娩. 这往往导致了强迫和缺乏自主性的感觉,尽管他们对最终决定的满意度很高.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
- 医疗保健获取研究 医疗保健获取研究
背景情况:
- 目前的建议支持阴道后分娩,但在美国,医院接入仍然受到限制.
- 这项研究调查了因医院护理有限而选择家庭产的个人的经历.
研究的目的:
- 探索决策过程和对追求家庭产的个人获得护理的感知.
- 了解那些因产护理而从医院系统转移出来的人的经历.
主要方法:
- 这是一项混合方法研究,涉及25名从美国医院系统中转移出家庭产的个人.
- 利用在线调查和半结构面试,分析解释性描述和情境分析.
主要成果:
- 64%的受访者觉得自己被拒绝做出明智的选择,68%的受访者觉得自己被强迫进行剖腹产.
- 80%的人表示决策自主度低,但决策满意度高.
- 参与者认为缺少安全,尊重的医院护理阴道后分娩,感觉"被迫在家中分娩".
结论:
- 基于医院的阴道后分娩护理的障碍迫使一些人选择在家分娩.
- 获得有限的护理限制了分娩个体的自主权,并可能增加父母和婴儿的风险.
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