干预分娩经验的因素:一种混合方法研究
Luciana Braz de Oliveira Paes1, Márcia Regina Cangiani Fabbro2, Beatriz Rosana Gonçalves de Oliveira Toso3
1Federal University of Sao Carlos, São Carlos, SP, 13565-905, Rod. Washington Luís, s/n, Brazil. Luciana_brazsp@hotmail.com.
剖腹产与更负面的分娩经历有关,因为干预和缺乏权利,而正常分娩导致不安全感. 解决妇女的经历对于安全和尊重的护理至关重要.
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:
- 积极的分娩经历受到各种因素的影响,包括临床干预和患者权利.
- 了解女性的看法对于提高产妇护理质量至关重要.
研究的目的:
- 分析分娩经历,重点关注影响因素和分娩方法.
- 识别积极分娩经验的障碍物和促进者.
主要方法:
- 一个连续的,解释性的混合方法研究,涉及265名妇女在定量阶段和44名妇女在定性阶段.
- 使用了"妇女和婴儿友好型医院倡议温度计"问卷和半结构面试.
- 使用描述性分析,Poisson回归和专题分析进行数据集成.
主要成果:
- 剖腹产 (61.9%) 与由于恐惧,治疗和过去的创伤而导致的负面经历有关.
- 限制包括缺乏伴侣 (99.6%),隐私 (83%) 和尊重待遇 (69.5%).
- 促进因素包括伴侣的选择 (95.4%),没有感染 (83.9%),持续监测 (82.2%),和缓解疼痛 (78.9%).
结论:
- 积极的经验与临床因素和服务可用性有关.
- 负面经验源于过度干预,权利剥夺,缺乏隐私和有限的伙伴关系.
- 迫切需要采取行动,以确保妇女的经历是安全和尊重的.
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