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[分娩期间的支持:女性对医疗保健提供者及所选陪伴者的看法]

[Support during childbirth: perception of health care providers and companions chosen by women].

作者信息

Brüggemann Odaléa Maria, Osis Maria José Duarte, Parpinelli Mary Angela

机构信息

Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.

出版信息

Rev Saude Publica. 2007 Feb;41(1):44-52.

PMID:17273633
Abstract

OBJECTIVE

To understand health care providers' perception on managing laboring women in the presence of a labor companion of their choice, and the labor companion's perception of this experience.

METHODS

A qualitative study was conducted based on a controlled randomized clinical trial. Sampling was intentional and determined through information saturation. Semi-structured interviews were carried out with 11 health care providers and 16 laboring companions in the obstetric unit of a maternity facility at the hospital complex, in Campinas, Southern Brazil, between October 2004 and March 2005. The thematic analysis of discourse was applied using the following methodological figures: central idea, key expressions and discourse of the collective subject.

RESULTS

The most remarkable central ideas of health care providers were: no difference was observed in managing laboring women with a labor companion; positive changes were noted in labor management when a labor companion was present; the companion provided emotional support to laboring women who were more pleased, and felt safer and peaceful; many positive aspects were seen in the behavior and involvement of laboring women with a labor companion; the companion caused no problems and encouraged health providers to engage in a more humane and less routine attitude. The main central ideas of labor companions were: positive feelings, emotions, a sense of satisfaction with the experience; being with the laboring woman was a great opportunity to provide her emotional support; and they felt welcome by health care providers.

CONCLUSIONS

Health providers considered positive the support provided by a labor companion and had no problems in managing laboring women in the presence of their companions. Labor companions were pleased and happy with this experience. There was no conflicting opinions.

摘要

目的

了解医疗保健提供者对在产妇选择的分娩陪伴者在场情况下管理分娩妇女的看法,以及分娩陪伴者对这种经历的看法。

方法

基于一项对照随机临床试验进行了定性研究。抽样是有意的,并通过信息饱和来确定。2004年10月至2005年3月期间,在巴西南部坎皮纳斯医院综合大楼的一家产科机构的产科病房,对11名医疗保健提供者和16名分娩陪伴者进行了半结构化访谈。使用以下方法数字进行话语主题分析:中心思想、关键表达和集体主体的话语。

结果

医疗保健提供者最显著的中心思想是:在有分娩陪伴者的情况下管理分娩妇女没有观察到差异;当有分娩陪伴者在场时,分娩管理有积极变化;陪伴者为更开心、感觉更安全和平静的分娩妇女提供情感支持;有分娩陪伴者的分娩妇女的行为和参与有许多积极方面;陪伴者没有造成问题,并鼓励医疗保健提供者采取更人道、更少常规的态度。分娩陪伴者的主要中心思想是:积极的感受、情绪、对经历的满意感;与分娩妇女在一起是为她提供情感支持的好机会;他们感到受到医疗保健提供者的欢迎。

结论

医疗保健提供者认为分娩陪伴者提供的支持是积极的,并且在陪伴者在场的情况下管理分娩妇女没有问题。分娩陪伴者对这种经历感到高兴和满意。没有相互矛盾的意见。

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