家庭产的决策经验:一个解释性的描述
Robyn Schafer1, Holly Powell Kennedy2, Shelagh Mulvaney3
1Rutgers University, New Brunswick, NJ, USA.
SSM. Qualitative research in health
|November 13, 2024
概括
许多寻求阴道后分娩的妇女面临医院限制,导致一些选择家庭分娩. 这项研究探讨了他们的决策之旅,强调了对正常分娩的信任和主张代理权的主题.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 尽管有证据支持精选候选人的阴道产,但剖腹产在大多数美国医院都是标准的.
- 对于计划的阴道腹分娩而言,有限的医院接入可能会导致个人寻求家庭分娩的选择.
- 在医院系统之外的家庭产可能会给父母和婴儿带来更大的风险.
研究的目的:
- 探讨在离开美国医院系统后选择家庭产的个体的决策经验.
- 了解影响医院外产选择的因素.
- 告知临床实践和研究,以改善以人为中心的护理在胎怀孕.
主要方法:
- 来自混合方法研究的数据的定性分析.
- 通过开放式调查 (n=25) 和半结构面试 (n=23) 收集的数据.
- 解释性描述方法由情境分析提供信息.
主要成果:
- 五个相互关联的主题出现了:重视正常分娩,感受到约束,断言自主,知情决策和汲取力量.
- 参与者的决定受到了对生理出生过程的信任的影响.
- 经验涉及导航系统障碍和断言个人代理.
结论:
- 了解决策过程对于改善胎患者的护理至关重要.
- 临床实践应努力提供安全,尊重和以人为中心的护理,适应各种分娩选择.
- 需要进一步的研究来支持基于证据的产管理选择.
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