妇女对分娩和分娩的决策的看法:一个定性产前和产后配对面试研究
Erin White1, Anna Davies2, Andrew Demetri2
1Department of Women's & Children's Health, University of Liverpool, Liverpool, UK.
BMJ open
|June 4, 2025
概括
妇女希望在怀孕和产后期间获得量身定制的信息,并有足够的时间做出决定. 医疗保健提供者需要支持,以提供个性化的护理,改善劳动和分娩经验.
科学领域:
- 孕产妇健康 孕产妇健康
- 生殖健康 生殖健康
- 定性研究是指质量研究.
背景情况:
- 了解妇女对产前和产后信息需求的看法,对于改善产妇护理至关重要.
- 劳动和分娩期间的决策是一个复杂的过程,受信息获取和专业指导的影响.
研究的目的:
- 为了比较产前和产后对信息优先级的看法,劳动和分娩.
- 探索妇女在劳动和分娩期间对决策的观点.
主要方法:
- 进行了一项定性采访研究,对孕妇 (妊娠≥13周) 和产后妇女 (≥6周) 进行了采访.
- 使用半结构化主题指南进行了重复采访,并以主题分析数据.
- 有目的的抽样确保了大型分娩医院中不同社会人口群体的代表性.
主要成果:
- 十二名妇女参加了会议,她们的产后观点与有关信息和决策的产前期望一致.
- 关键主题包括信息来源 (社会影响,患者责任,NHS与非NHS资源),医疗保健专业人士的影响以及信息的期望时间,格式和内容.
- 在所有主题中都发现了对个别定制信息的未满足需求.
结论:
- 女性认为劳动和分娩决策是动态的,但可以面对信息量,质量和时间的挑战.
- 孕产妇设置必须通过为女性量身定制信息和装备专业人员来加强个性化护理和共享决策.
- 建议进一步研究产前干预措施,如决策辅助和结构化咨询.
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