Chalmers Beverley, Dzakpasu Susie, Heaman Maureen, Kaczorowski Janusz
Deptment of Community Health and Epidemiology, Queen's University, Kingston ON.
Public Health Agency of Canada, Ottawa ON.
J Obstet Gynaecol Can. 2008 Mar;30(3):217-228. doi: 10.1016/S1701-2163(16)32758-X.
The Canadian Perinatal Surveillance System (CPSS) of the Public Health Agency of Canada (PHAC) routinely monitors national perinatal health indicators using available administrative databases and population health surveys. Women's perceptions and assessments of their perinatal experiences are not captured by these data sources. The Maternity Experiences Survey (MES) addresses some of these knowledge gaps, and was designed to examine experiences, practices, perceptions and knowledge during pregnancy, birth and the early postpartum months among women giving birth in Canada.
A randomly selected sample of 8542 women, stratified primarily by province and territory, was drawn from the May 2006 Canadian Census. Birth mothers living with their infants at the time of interview were invited to participate in a computer assisted telephone interview conducted by Statistics Canada on behalf of the PHAC. Interviews took approximately 45 minutes and were completed when infants were between five and 10 months old (between 9 and 14 months in the territories). Completed responses were obtained from 6421 women (78%).
Most women reported being satisfied with the care they received. The findings suggested a higher use of selected interventions in pregnancy, labour and birth than is recommended by current evidence and a lower adherence to several best practices related to family-centred issues and the World Health Organization / United Nations Children's Fund "Baby Friendly Hospital Initiative."
Assessing women's perceptions of their perinatal care'provides a valuable supplement to traditional perinatal surveillance tools. The MES will allow for women's views to be considered in relation to current maternity care policies and practices in Canada.
加拿大公共卫生署（PHAC）的加拿大围产期监测系统（CPSS）利用现有的行政数据库和人口健康调查，定期监测全国围产期健康指标。这些数据来源未涵盖女性对其围产期经历的看法和评估。产妇经历调查（MES）填补了其中一些知识空白，旨在调查在加拿大分娩的女性在怀孕、分娩及产后早期几个月的经历、做法、看法和知识。
从2006年5月的加拿大人口普查中随机抽取了8542名女性样本，主要按省份和地区分层。邀请在访谈时与婴儿同住的生母参加由加拿大统计局代表PHAC进行的计算机辅助电话访谈。访谈大约需要45分钟，在婴儿5至10个月大时完成（在各地区为9至14个月）。从6421名女性（78%）那里获得了完整的回复。
大多数女性报告对她们接受的护理感到满意。研究结果表明，在怀孕、分娩和生产过程中，某些干预措施的使用频率高于当前证据所建议的水平，而在一些与以家庭为中心的问题以及世界卫生组织/联合国儿童基金会“爱婴医院倡议”相关的最佳做法方面，依从性较低。
评估女性对其围产期护理的看法，为传统围产期监测工具提供了有价值的补充。产妇经历调查将使加拿大当前的产妇护理政策和做法能够考虑到女性的观点。
