Blix-Lindström Sabine, Christensson Kyllike, Johansson Eva
Division of Reproductive and Perinatal Health Care, Department of Woman and Child Health, Karolinska Institutet, Stockholm SE-171 76, Sweden.
Midwifery. 2004 Mar;20(1):104-12. doi: 10.1016/j.midw.2003.07.001.
to describe women's experiences of participating in decision-making related to augmentation of labour.
a qualitative approach using modified grounded theory technique. Open-ended interviews were conducted 1-3 days after childbirth.
the interviews were performed in the postnatal wards in five hospitals (tertiary level) in Stockholm, Sweden.
20 newly delivered women who had received oxytocin infusion for augmentation of labour during childbirth. FINDINGS AND KEY CONCLUSIONS: support and guidance from midwives in combination with knowledge and expectations about the intervention seemed to be important for women's satisfaction with decision-making concerning augmentation of labour. Four patterns of decision-making were found. One group of women participated in the decision-making regarding augmentation of labour while a second group was invited, but refrained from participation. These women were satisfied with the decisions made. A third group of women did not participate, but wanted to and they were dissatisfied with the decisions made. The fourth group did not participate in the decision-making-and did not want to. These women accepted the decisions made. The desire for information exceeded the desire for involvement in decision-making and the majority of women had confidence in the midwives' assessment.
描述女性参与引产决策的经历。
采用改良扎根理论技术的定性研究方法。在产后1至3天进行开放式访谈。
访谈在瑞典斯德哥尔摩五家三级医院的产后病房进行。
20名在分娩期间接受催产素引产的新产妇。
助产士的支持与指导，以及对干预措施的了解和期望，似乎对女性对引产决策的满意度很重要。发现了四种决策模式。一组女性参与了引产决策，而另一组女性被邀请但拒绝参与。这些女性对所做的决策感到满意。第三组女性没有参与，但想参与，她们对所做的决策不满意。第四组女性没有参与决策，也不想参与。这些女性接受了所做的决策。对信息的渴望超过了参与决策的渴望，大多数女性对助产士的评估有信心。
