Mackey M C
Matern Child Nurs J. 1990 Summer;19(2):143-73.
As part of a larger study on women's views of the childbirth experience, this study focused on women's preparation for childbirth. Sixty-one Lamaze-prepared, married multigravidae described their preparations for childbirth during intensive, tape-recorded interviews conducted at 36 to 38 weeks gestation. Qualitative data analysis indicated that women focused their descriptions of their past and expected childbirth experiences on the importance of the quality of their own performance in managing labor and delivery. Women described the ideal childbirth experience as a fast, short labor (84%) and one which they managed well (74%). They focused their review of past childbirth experiences on how well they had controlled their own behavior and evaluated their past performance as (a) managing well, 39%; (b) having difficulty, 31%, or (c) managing poorly, 30%. The majority of women (95%) reported that being informed about labor and delivery was generally helpful. They described information as valuable because it decreased fear which increased relaxation and decreased tension, which in turn increased their chances of managing labor well. Although women wanted to do a good job in managing labor, 59% were confident they would perform well and 41% were uncertain. The study results should help nurses recognize if women under their care also have the need to do a good job in managing labor and delivery and suggest ways for nurses to support women in their efforts, their successes, and their failures in meeting their labor management goals.
作为一项关于女性对分娩经历看法的大型研究的一部分，本研究聚焦于女性的分娩准备情况。61名接受过拉玛泽分娩法培训的已婚经产妇，在妊娠36至38周时接受了密集的、有录音的访谈，描述了她们的分娩准备情况。定性数据分析表明，女性在描述她们过去和预期的分娩经历时，重点在于她们自己在分娩过程中表现的质量的重要性。女性将理想的分娩经历描述为快速、短暂的分娩（84%）以及她们能够很好应对的分娩（74%）。她们回顾过去的分娩经历时，关注的是自己控制行为的程度，并将过去的表现评价为：（a）应对良好，39%；（b）有困难，31%；或（c）应对不佳，30%。大多数女性（95%）报告说，了解分娩过程总体上是有帮助的。她们认为信息很有价值，因为它减少了恐惧，增加了放松感，降低了紧张情绪，进而增加了她们顺利应对分娩的机会。尽管女性希望在分娩过程中表现良好，但59%的人相信自己会表现出色，41%的人不确定。研究结果应有助于护士认识到她们所护理的女性是否也有在分娩过程中表现良好的需求，并为护士提供方法，以支持女性在实现分娩管理目标的努力、成功和失败中提供帮助。
