School of Nursing, University of São Paulo, São Paulo, Brazil.
Midwifery. 2011 Oct;27(5):693-9. doi: 10.1016/j.midw.2009.10.004. Epub 2010 Sep 25.
to explore the reasons why women with previous hospital experience seek care at a birth centre, and their perceptions related to the care received in both settings.
DESIGN, SETTING AND PARTICIPANTS: in-depth interviews focusing on the care experiences of 18 women who received birth care in a birth centre of the Brazilian public health system.
three key themes emerged from the analysis: 'Confrontation with strong problems in the hospital setting', 'Reasons to seek the birth centre' and 'Satisfaction related to birth centre care'. The main aspects that the mothers mentioned in the first and third themes were related to the institutional structure and system of care.
mothers' narratives suggested that their previous experience of problems in the hospital setting was the main motive for seeking care at the birth centre. The most important components of birth care were attention, meeting personal care demands and establishment of an adequate interpersonal relationship. More sensitive birthing care in the hospital setting is necessary, and this can be promoted through continuing professional education.
探讨有医院就诊经历的女性选择到分娩中心分娩的原因，以及她们对这两种分娩环境下所获得的护理的看法。
设计、环境和参与者：对在巴西公共卫生系统的分娩中心接受分娩护理的 18 名女性的护理体验进行深入访谈。
分析得出三个关键主题：“在医院环境中遇到严重问题”、“寻求分娩中心的原因”和“对分娩中心护理的满意度”。母亲在第一和第三个主题中提到的主要方面与机构结构和护理系统有关。
母亲的叙述表明，她们在医院环境中遇到的问题是选择到分娩中心分娩的主要动机。分娩护理最重要的组成部分是关注、满足个人护理需求和建立适当的人际关系。医院分娩环境需要更敏感的护理，这可以通过继续教育来促进。
