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一项关于女性对促成积极分娩体验因素看法的前瞻性研究。

A prospective study of women's views of factors contributing to a positive birth experience.

作者信息

Lavender T, Walkinshaw S A, Walton I

机构信息

Liverpool Women's Hospital, UK.

出版信息

Midwifery. 1999 Mar;15(1):40-6. doi: 10.1016/s0266-6138(99)90036-0.

Abstract

OBJECTIVE

To explore the aspects of a woman's childbirth experience which she perceived as being important.

DESIGN

As part of a large randomised trial, which assessed the timing of intervention in prolonged labour, women's views were explored using a specifically-designed questionnaire. The questionnaire, which was administered on the second postnatal day, incorporated a rating scale followed by an open question. The responses to the open question are presented in this paper.

SETTING

Regional teaching hospital in the north west of England.

SAMPLE

615 primigravid women received a copy of the questionnaire. Of the 519 women who returned the questionnaire, 412 women answered the relevant section, the findings of which are presented in this paper.

ANALYSIS

The responses to the open-ended question were analysed by the generation of themes from the most frequently occurring responses.

MAIN FINDINGS

The main themes which emerged were support, information, intervention, decision making, control, pain relief and trial participation.

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Most women are able to identify important contributors to a positive intrapartum experience. Midwives have an important role in identifying these contributors and supporting women to fulfil their individual needs.

摘要

目的

探讨女性认为分娩经历中重要的方面。

设计

作为一项大型随机试验的一部分,该试验评估了产程延长时的干预时机,通过一份专门设计的问卷来探究女性的观点。问卷在产后第二天发放,包含一个评分量表,随后是一个开放式问题。本文呈现了对开放式问题的回答。

地点

英格兰西北部的地区教学医院。

样本

615名初产妇收到了问卷副本。在519名返回问卷的女性中,412名女性回答了相关部分,本文呈现了其结果。

分析

对开放式问题的回答通过从最常见的回答中生成主题进行分析。

主要发现

出现的主要主题包括支持、信息、干预、决策、控制、疼痛缓解和试验参与。

关键结论及对实践的启示

大多数女性能够确定积极分娩体验的重要因素。助产士在识别这些因素并支持女性满足其个人需求方面发挥着重要作用。

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