Oweis Arwa
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Int J Nurs Pract. 2009 Dec;15(6):525-33. doi: 10.1111/j.1440-172X.2009.01774.x.
The main aim of this study is to document women's perceptions of the different aspects their childbirth experience including expectations, satisfaction and self-control. Other aspects of the labour process including length of labour, difficulty of labour, effectiveness of pain control, expectations of pain level, perception of level of involvement in decisions among other variables were also explored. A descriptive cross-sectional design was used to achieve the aim of this study. A convenience sample of 177 Jordanian mothers was used. They were recruited from three primary health-care centres located in Irbid, north of Jordan. Findings of the study indicated that women had a more painful labour than they expected, they were scared of the experience of labour, they went through different procedures during labour including induction and episiotomy, and perceived that they had an intense childbirth experience. The majority of participants reported that they were not satisfied with the different aspects of the childbirth experience and perceived that they had little control during childbirth. These findings should be considered by all health-care providers, hospital administrators and policy-makers to plan and implement appropriate strategies that could help women go through the childbirth experience with less fear and anxiety and empowered with coping mechanisms that could reduce their dissatisfaction with their childbirth experience and to help them regain more control during childbirth. Such strategies might include reconsidering staffing in the maternity units and patient nurse or midwife ratio.
本研究的主要目的是记录女性对其分娩经历不同方面的看法，包括期望、满意度和自我控制感。还探讨了分娩过程的其他方面，包括产程长度、分娩难度、疼痛控制效果、对疼痛程度的期望、对决策参与程度的感知以及其他变量。本研究采用描述性横断面设计来实现研究目的。选取了177名约旦母亲作为便利样本。她们是从位于约旦北部伊尔比德的三个初级保健中心招募的。研究结果表明，女性的分娩疼痛比她们预期的更强烈，她们害怕分娩经历，在分娩过程中经历了包括引产和会阴切开术在内的不同程序，并认为自己经历了强烈的分娩体验。大多数参与者报告说，她们对分娩经历的不同方面不满意，并且认为自己在分娩过程中几乎没有控制权。所有医疗保健提供者、医院管理人员和政策制定者都应考虑这些研究结果，以规划和实施适当的策略，帮助女性在分娩过程中减少恐惧和焦虑，并赋予她们应对机制，以减少她们对分娩经历的不满，并帮助她们在分娩过程中重新获得更多控制权。此类策略可能包括重新考虑产科病房的人员配备以及护士或助产士与患者的比例。
