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探究影响中国女性选择剖宫产手术的因素。

Exploring factors influencing Chinese women's decision to have elective caesarean surgery.

作者信息

Lee L Y, Holroyd E, Ng C Y

机构信息

The Open University of Hong Kong, 30 Good Shepherd Street, Ho Man Tin, Kowloon, Hong Kong.

出版信息

Midwifery. 2001 Dec;17(4):314-22. doi: 10.1054/midw.2001.0274.

DOI:10.1054/midw.2001.0274
PMID:11749064
Abstract

OBJECTIVES

to identify the factors that influence Hong Kong Chinese women's decision to have an elective caesarean section. To explore Chinese women's perceptions of their autonomous involvement in childbirth decision-making.

DESIGN

a qualitative exploratory design.

SETTING

a postnatal ward of a private hospital in Hong Kong.

PARTICIPANTS

a purposive sample of six postnatal women who had undergone an elective caesarean section.

FINDINGS

four thematic categories were identified including: avoiding fetal and maternal risks, exercising autonomy to make an independent choice, Chinese belief systems, and rejoicing and regretting.

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

we propose the provision of a 'named' midwife and continuity of care. Improving the availability of information on caesarean sections, accommodating a Chinese belief system in the planning of midwifery services at the international level and establishing post caesarean section peer support groups are recommended.

摘要

目标

确定影响中国香港女性选择剖宫产的因素。探讨中国女性对自身自主参与分娩决策的看法。

设计

定性探索性设计。

地点

中国香港一家私立医院的产后病房。

参与者

六名接受过选择性剖宫产的产后女性的目的抽样样本。

结果

确定了四个主题类别,包括:避免胎儿和产妇风险、行使自主权做出独立选择、中国信仰体系以及喜悦与遗憾。

关键结论及对实践的启示

我们建议提供“指定”助产士并提供连续性护理。建议提高剖宫产信息的可获取性,在国际层面的助产服务规划中考虑中国信仰体系,并建立剖宫产术后同伴支持小组。

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