在COVID-19期间的出生设置决策:一个比较的定性研究
Sarah Holdren1, Laura Crook2, Anne Lyerly1
1Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Women's health (London, England)
|January 29, 2024
概括
随着COVID-19大流行,许多人的出生地点决定变得更加明确,突出了个人价值观和安全感知. 这项研究强调,需要为各种分娩环境提供更好的支持系统.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 在全球范围内,COVID-19大流行导致非医院分娩的增加.
- 有限的研究存在,比较在这一时期不同出生地点的经验.
研究的目的:
- 为了比较流行病期间在医院内外分娩的个体的叙述和决策过程.
- 了解疫情如何影响出生地点的选择.
主要方法:
- 与24名在COVID-19大流行期间分娩的妇女进行了半结构化的叙事采访.
- 在转录的采访中采用主题叙事分析.
- 通过团队讨论确定了关键主题.
主要成果:
- 三个主要主题影响了出生地点的决定:出生效率/价值观,安全的定义和物流.
- 参与者描述了个性化的方法,以创造支持性的出生环境,同时管理风险.
- 在医院,分娩中心和家庭分娩中,经验各不相同.
结论:
- 疫情提高了个人分娩需求,风险和益处的清晰度,而不是改变一些人的核心价值观.
- 迫切需要改善结构性支持,以确保获得安全和支持性的分娩环境.
- 调查结果强调了个性化护理和产妇服务多样化的选择的重要性.
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