Spear Hila J
Department of Nursing at Liberty University, Lynchburg, VA, USA.
J Obstet Gynecol Neonatal Nurs. 2006 Sep-Oct;35(5):634-43. doi: 10.1111/j.1552-6909.2006.00078.x.
To describe policies, practices, and associated rationales of hospital obstetric units regarding mothers' support person options during childbirth and to explore practices concerning support of breastfeeding initiation after cesarean delivery.
Descriptive telephone survey.
Hospitals in the southeastern region of the United States.
Convenience sample of 154 obstetric nurse manager and nurse representatives employed by the participating hospitals.
Types of policies regarding mothers' support person options during childbirth and immediate postpartum stage, initiation of breastfeeding after cesarean birth, and attitudes about policies.
All hospitals allowed two or more support persons during vaginal births, 89% permitted only one support person during nonemergent cesareans, and 58.0% of the nurse representatives believed that mothers should be allowed a second support person. Less than one third (31.2%) of the hospitals considered a mother's request to breastfeed in the operating room, and most (78.6%) allowed mothers to breastfeed in the recovery room.
Overall, maternal support policies, practices, and nurse representatives' attitudes were mother and family friendly, particularly related to vaginal births. Though breastfeeding initiation after cesarean birth was encouraging, support person options during nonemergent cesarean births and related rationales warrant further examination.
描述医院产科单位关于分娩期间母亲支持人员选择的政策、做法及相关理由，并探讨剖宫产术后促进母乳喂养开始的做法。
描述性电话调查。
美国东南部地区的医院。
参与医院雇佣的154名产科护士经理和护士代表的便利样本。
分娩期间及产后即刻母亲支持人员选择的政策类型、剖宫产术后母乳喂养的开始情况以及对政策的态度。
所有医院在顺产时允许两名或更多支持人员，89%的医院在非急诊剖宫产时只允许一名支持人员，58.0%的护士代表认为应允许母亲有第二名支持人员。不到三分之一（31.2%）的医院考虑母亲在手术室进行母乳喂养的请求，大多数医院（78.6%）允许母亲在恢复室进行母乳喂养。
总体而言，产妇支持政策、做法及护士代表的态度对母亲和家庭较为友好，尤其是与顺产相关的方面。虽然剖宫产术后母乳喂养的开始情况令人鼓舞，但非急诊剖宫产时支持人员的选择及相关理由值得进一步研究。
