妇女的经验下降推或常规产妇护理:一个系统的审查
Ilyana Mohamed Hussain1, Kate Buchanan1, Linda Sweet2
1School of Nursing and Midwifery, Edith Cowan University, Perth, Australia.
Women and birth : journal of the Australian College of Midwives
|November 1, 2025
概括
拒绝产妇护理的妇女往往会做出明智的,以价值观为基础的决策,其动机是渴望获得自主权. 医疗保健提供者应该尊重这些选择,并提供以女性为中心的护理,以改善体验.
科学领域:
- 孕产妇健康 孕产妇健康
- 定性研究综合 定性研究综合
- 医疗保健中的知情同意
背景情况:
- 女性有权拒绝推的产妇护理.
- 妇女拒绝常规产妇服务的经历并未得到充分理解.
- 在产妇护理中强调知情选择与拒绝经验的有限探索形成鲜明对比.
研究的目的:
- 综合现有的关于妇女在拒绝推或常规产妇护理时经历的证据.
- 探索影响妇女决定拒绝产妇服务的动机和因素.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 原则进行定性合成的系统审查.
- 通过批判性评估技能计划 (CASP) 检查清单对八项研究的评估.
- 叙事综合从定性数据中识别总体主题.
主要成果:
- 妇女拒绝护理的决定的特点是她们的出生哲学,自主性,对出生过程的信任和以价值观为基础的推理.
- 孕产妇护理专业人员的影响包括父权主义,信任的侵蚀,不愿冒风险的文化和防御性做法.
- 主要主题突出了妇女决策和医疗保健提供者互动之间的相互作用.
结论:
- 拒绝产妇护理的妇女通常参与知情,以价值观为导向的决策,优先考虑自治和尊重的待遇.
- 改善产妇护理包括承认妇女拒绝服务的权利,并支持知情选择.
- 倡导个性化,以女性为中心的护理对于增强拒绝常规服务的妇女的经验至关重要.
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