水中分娩的认知与实践：对佐治亚州助产士的调查。

Perceptions and practice of waterbirth: a survey of Georgia midwives.

机构信息

Emory University, Atlanta, GA, USA.

出版信息

J Midwifery Womens Health. 2010 Jan-Feb;55(1):55-9. doi: 10.1016/j.jmwh.2009.01.008.

DOI:10.1016/j.jmwh.2009.01.008

PMID:20129230

Abstract

This study investigated the experience and perceptions of Georgia certified nurse-midwives about waterbirth and their level of support for establishing waterbirth in their work setting. A survey was distributed to a convenience sample of 119 certified nurse-midwives from the American College of Nurse Midwives, Georgia chapter; 45% of those surveyed responded. The majority of midwives had some exposure to waterbirth through self-education or through clinical practice. More than half supported the incorporation of waterbirth in their workplace setting. Maternal relaxation and reduced use of analgesia were perceived as the greatest benefit of waterbirth. Of 11 items related to disadvantages of waterbirth, certified nurse-midwives were moderately to severely concerned about none. The most concerning factors, with a mean of 2.4 to 2.5 on a scale of 1 (no worry) to 5 (severe worry), were maintenance of water temperature, physical stress on the midwife, and inability to see the perineum. Midwives' support for waterbirth focused mostly on the perceived benefits to the mother with little worry about the risks.

摘要

这项研究调查了佐治亚州认证的助产士对水中分娩的经验和看法，以及他们在工作场所支持水中分娩的程度。该研究向美国助产士学院佐治亚分会的 119 名认证助产士进行了一项调查，其中 45%的人做出了回应。大多数助产士通过自学或临床实践对水中分娩有一定的了解。超过一半的人支持在工作场所引入水中分娩。产妇放松和减少使用止痛药被认为是水中分娩的最大好处。在与水中分娩相关的 11 个不利因素中，认证助产士对其中的大多数并不十分担心。最令人担忧的因素是，平均有 2.4 到 2.5 分（无担忧）到 5 分（严重担忧），分别是水温的维持、助产士的身体压力和无法看到会阴。助产士对水中分娩的支持主要集中在母亲的感知益处上，对风险的担忧较少。