在负面分娩经历后,女性对选择,赋权和控制在随后怀孕中的洞察力:一项多方法研究
Deborah Pidd1, Catina Adams2, Michelle Newton2
1School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia; Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; Mercy Hospital for Women, Heidelberg, VIC 3084, Australia.
Women and birth : journal of the Australian College of Midwives
|November 6, 2025
概括
妇女希望她们以前的负面分娩经历得到承认,需要信息来做出明智的决定,以感受到控制. 护理的连续性和已知的护理人员增强了积极的孕产妇体验,特别是对于那些患有出生创伤的人来说.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 妇女健康 妇女健康
背景情况:
- 在分娩过程中缺乏控制和选择可以导致负面或痛苦的经历.
- 以女性为中心的方法与改善产妇护理体验有关.
- 妇女往往希望在负面经验后,在随后的怀孕中获得不同的分娩经验.
研究的目的:
- 确定妇女在负面分娩后对其产妇经验至关重要的护理要素.
- 探索使或阻碍女性为中心的护理观念的因素.
- 了解女性在负面分娩经历后对以女性为中心的护理的观点.
主要方法:
- 一个多方法研究,结合了定量 (调查) 和定性 (采访) 方法.
- 57名多胎妇女参与了这项研究,她们有负面的分娩经历或害怕分娩.
- 使用描述性统计和内容/主题分析分析的数据.
主要成果:
- 妇女非常重视承认过去的经验和信息,以便做出明智的决策和控制.
- 已知护理人员的整体护理改善了结果,但未知临床医生的以女性为中心的做法也很有效.
- 关键要素包括明智的决策,承认以前的经验和护理的连续性.
结论:
- 满足女性的价值观,偏好和信息需求促进了控制和赋权.
- 护理的连续性加强了以女性为中心的方法,尽管在分散的系统中,关系护理是可能的.
- 在怀孕期间优先考虑连续性对于那些以前有负面分娩经历和对分娩的恐惧的女性来说至关重要.
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