普林罗斯项目:什么是'生理出生'? 对澳大利亚人口感知的量化方法
Brooke I Henshall1, Heather A Grimes2, Jennifer Davis3
1La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Mercy Hospital for Women, Mercy Health Pty Ltd, Heidelberg Victoria, Australia.
Midwifery
|March 20, 2025
概括
存在多种对生理分娩的理解,这凸显了在澳大利亚需要一个明确的共识声明的需要. 不同的团体,包括杜拉和产科医生,对分娩期间的干预有不同的看法.
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:
- 1997年世界卫生组织对生理分娩的定义可能需要根据澳大利亚的情况进行更新.
- 目前的做法和妇女和护理人员的不同观点需要重新评估.
- 了解关于分娩和分娩干预的不同观点至关重要.
研究的目的:
- 探索产科医生,助产士,女护士,妇女和支持人员如何看待生理分娩.
- 为了确定被认为与生理分娩一致的干预措施.
- 确定关于生理分娩的共识陈述的关键术语.
主要方法:
- 一个匿名,68个字段的在线问卷通过社交媒体分发.
- 数据收集涉及视觉模拟量表,多选项,利克特量表和开放文本项目.
- 733名参与者在2023年8月至11月期间完成了调查.
主要成果:
- 阴道检查被视为生理检查,而连续心脏图谱和人造膜破裂则不是.
- 杜拉比其他群体更强调"无干预"的分娩;产科医生认为分娩是固有的风险.
- 参与者建议在共识定义中包括"自发发病"",没有/最小干预"和"自发分娩/分娩".
结论:
- 由于多种解释,术语"生理出生"缺乏清晰度.
- 在护理人员和妇女如何看待分娩干预方面存在差异.
- 在澳大利亚的背景下,建议就生理分娩发表共识声明.
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