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分娩支持:初为人父者对孩子出生时所要求和所获得的支持的描述。

Support during labour: first-time fathers' descriptions of requested and received support during the birth of their child.

机构信息

School of Life Sciences, University of Skövde, Gullhönevägen 15, 541 65 Skövde, Sweden.

出版信息

Midwifery. 2011 Feb;27(1):67-73. doi: 10.1016/j.midw.2009.07.001. Epub 2009 Sep 23.

DOI:10.1016/j.midw.2009.07.001
PMID:19783334
Abstract

OBJECTIVE

to explore how first-time fathers describe requested and received support during a normal birth.

DESIGN

qualitative research design. Ten first-time fathers were interviewed during the first postpartum week. Individual open-ended interviews were used to explore the fathers' descriptions, and the interviews were analysed using qualitative analysis.

SETTING

a labour ward at one hospital in a south-western county of Sweden in November and December 2006.

PARTICIPANTS

first-time fathers who had experienced a normal birth at the hospital during the study period.

FINDINGS

the support described is presented as one main theme, 'being involved or being left out', which included four underlying categories: 'an allowing atmosphere', 'balancing involvement', 'being seen' and 'feeling left out'.

KEY CONCLUSIONS

fathers perceived that they were given good support when they were allowed to ask questions during labour, when they had the opportunity to interact with the midwife and their partner, and when they could choose when to be involved or to step back. Fathers want to be seen as individuals who are part of the labouring couple. If fathers are left out, they tend to feel helpless; this can result in a feeling of panic and can put their supportive role of their partner at risk.

IMPLICATIONS FOR PRACTICE

the results of this study could initiate discussions about how health-care professionals can develop support given to the labouring couple, with an interest in increasing paternal involvement.

摘要

目的

探索初为人父者在正常分娩过程中描述的期望得到的支持和实际得到的支持。

设计

定性研究设计。10 位初为人父者在产后第一周接受了访谈。采用开放式个人访谈来探讨父亲们的描述,使用定性分析对访谈进行分析。

地点

2006 年 11 月至 12 月,瑞典西南部某县一家医院的产房。

参与者

在研究期间在该医院经历过正常分娩的初为人父者。

结果

描述的支持呈现为一个主题,即“参与或被排除在外”,包括四个基本类别:“允许的氛围”、“平衡的参与”、“被看见”和“感觉被排除在外”。

主要结论

当父亲在分娩过程中被允许提问、有机会与助产士和伴侣互动、并可以选择何时参与或退后时,他们认为自己得到了很好的支持。父亲们希望被视为分娩夫妇中的个体。如果被排除在外,他们往往会感到无助;这可能导致恐慌感,并使他们支持伴侣的角色面临风险。

实践意义

本研究的结果可以引发关于医疗保健专业人员如何在关注增加父亲参与的情况下为分娩夫妇提供支持的讨论。

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