Hundley V, Rennie A M, Fitzmaurice A, Graham W, van Teijlingen E, Penney G
Centre for Advanced Studies in Nursing, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen, AB24 2AY, UK.
Midwifery. 2000 Dec;16(4):303-13. doi: 10.1054/midw.2000.0231.
A survey of women's views of their care was undertaken as part of a national audit of maternity services in Scotland. The overall aim of the audit was to determine the extent to which recommendations from recent national policy documents had been adopted in practice.
A cross-sectional study seeking the views of all women giving birth throughout Scotland during a 10-day period in September 1998.
All women giving birth in Scotland within the survey period were eligible to participate in the study. Women unable to complete the questionnaire in English, women for whom the midwife deemed it inappropriate, and women who delivered but no longer resided in Scotland by their 10th postnatal day were excluded.
A self-complete questionnaire given to the woman by her community midwife for completion on her 10th postnatal day.
Analysis was carried out using the statistical package SPSS for Windows. Descriptive statistics were produced for all variables. Statistical tests of significance were not used, as this was primarily a descriptive survey.
Of the 1152 questionnaires returned, 1137 were suitable for analysis. This gave a response rate of 69% of the eligible population (1639). Most women (80%) had the majority of their antenatal care in the community but only one third had a choice about this. Sixty-nine per cent of women received care from one or two people. However, only 37% had a choice about who these people were. The majority of women gave birth in hospital (99%). Sixty-one per cent felt that they had a choice about where they could have their baby. However, fewer women had a choice about having a home birth (41%) or a DOMINO delivery (23%). Just over half the women felt that it was important to be cared for by a midwife that they had met during pregnancy but only 12% of women achieved this. Sixty-two per cent of women had talked to a health professional about what happened during labour and delivery but less than half had spoken with a professional who was present during her labour or birth.
Considerable efforts have been made to improve information and choice for women. However, it is clear that further work is needed if women are to be offered informed choice in the provision of their maternity care.
作为苏格兰孕产妇服务全国审计的一部分，开展了一项关于女性对其护理看法的调查。该审计的总体目标是确定近期国家政策文件中的建议在实际中得到采纳的程度。
一项横断面研究，旨在征求1998年9月为期10天内在苏格兰分娩的所有女性的意见。
调查期间在苏格兰分娩的所有女性均有资格参与该研究。无法用英语完成问卷的女性、助产士认为不适合参与的女性，以及在产后第10天已分娩但不再居住在苏格兰的女性被排除在外。
由社区助产士在产妇产后第10天交给她一份自我填写的问卷。
使用Windows版统计软件包SPSS进行分析。对所有变量进行描述性统计。未使用显著性统计检验，因为这主要是一项描述性调查。
在回收的1152份问卷中，1137份适合分析。这使得符合条件人群（1639人）的回复率为69%。大多数女性（80%）在社区接受了大部分产前护理，但只有三分之一的女性对此有选择权。69%的女性由一两个人提供护理。然而，只有37%的女性可以选择护理人员。大多数女性在医院分娩（99%）。61%的女性觉得她们可以选择分娩地点。然而，选择在家分娩（41%）或多米诺分娩（23%）的女性较少。略多于一半的女性认为由孕期见过的助产士护理很重要，但只有12%的女性实现了这一点。62%的女性与健康专业人员谈论过分娩过程中发生了什么，但不到一半的女性与分娩时在场的专业人员交谈过。
已经做出了相当大的努力来改善女性的信息获取和选择权。然而，显然如果要让女性在提供孕产妇护理方面做出明智的选择，还需要进一步努力。
