J Midwifery Womens Health. 2011 Jul-Aug;56(4):388-394. doi: 10.1111/j.1542-2011.2011.00030.x. Epub 2011 Jun 7.
This study aimed to explore clinical life-threatening childbirth situations, which midwives perceive as extremely stressful, and to identify how midwives cope with those experiences.
Participants were 18 midwives employed in 6 labor and delivery units in Israeli hospitals. Individual semistructured, in-depth interviews were conducted wherein participants were asked to describe an extremely stressful situation that they had experienced, their significant feelings associated with the event, their coping strategies, and their support systems.
Thematic content analysis revealed 2 themes, with each consisting of 4 categories. The first theme focused on reactions to stressful childbirth situations and their impact on midwives. Categories were: functioning professionally in an unexpected reality, emotional reactions, physical reactions, and long-term effects. The second theme related to coping with stressful situations, focusing on coping difficulties, and suggestions for change. Categories were: midwives' coping difficulties, their colleagues' reactions, their feelings about supervisory staff support, and their suggestions for meeting expressed needs.
Stressful childbirth situations can have a long-term impact on midwives' professional and personal identities. Midwives need to feel supported and valued in order to deal with emotional stress. Incorporating clinical supervision by experienced midwives can serve as a supportive framework for other midwives.
本研究旨在探讨助产士认为极具压力的临床危及生命的分娩情况，并确定助产士如何应对这些经历。
参与者为以色列医院 6 个分娩单位的 18 名助产士。采用个体半结构式深入访谈，要求参与者描述他们经历过的极度紧张的情况、与该事件相关的主要感受、应对策略以及支持系统。
主题内容分析揭示了 2 个主题，每个主题都包含 4 个类别。第一个主题侧重于对压力分娩情况的反应及其对助产士的影响。类别包括：在意外的现实中专业运作、情绪反应、身体反应和长期影响。第二个主题与应对压力情况有关，重点是应对困难和变革建议。类别包括：助产士的应对困难、同事的反应、对监督人员支持的感受以及满足表达需求的建议。
压力分娩情况可能对助产士的专业和个人身份产生长期影响。助产士需要感到支持和重视，以应对情绪压力。引入有经验的助产士进行临床监督可以作为其他助产士的支持框架。
