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等待进入产房世界的许可:初产妇在产房的初次相遇体验。

Waiting for permission to enter the labour ward world: first time parents' experiences of the first encounter on a labour ward.

机构信息

Department of Women's Health, NU Hospital, Trollhättan, Sweden.

出版信息

Sex Reprod Healthc. 2011 Aug;2(3):129-34. doi: 10.1016/j.srhc.2011.05.004. Epub 2011 Jun 15.

DOI:10.1016/j.srhc.2011.05.004
PMID:21742293
Abstract

BACKGROUND

For women and their partners, the first meeting with professional staff on the labour ward is important. This initial encounter is a short but sensitive meeting. It may be particularly crucial for first time parents, most of whom have no prior experience of the birth environment. The objective of this study was to explore the meaning of first time mothers' and their partners' first encounter with midwives and other maternity care staff when they arrive on a hospital labour ward.

METHOD

A hermeneutic, reflective lifeworld research approach was chosen to identify patterns of meanings, comprehension and explanations. Participants from Western Sweden were interviewed in the postnatal period; 37 individually, and 28 in focus groups.

RESULTS

Four themes were identified: 'timing it right ', 'waiting to be informed', 'being in an inferior position', and 'facing reality with a mosaic of emotions'. The final interpretation of the phenomenon is captured as 'waiting for permission to enter the labour ward world'.

CONCLUSION

The findings demonstrate the parents' efforts trying to determine the appropriateness of arrival to the labour ward. An asymmetric power relationship was expressed in the obedient acceptance of the waiting for attention in an unfamiliar situation. These findings suggest that the labour ward entry process is not parent centred. As entry to the labour ward sets the tone for the rest of the birth, this period in the labour process needs more attention in future research and practice from the maternity care professionals perspective.

摘要

背景

对于女性及其伴侣而言,与产房工作人员的首次会面非常重要。这是一次短暂但敏感的会面。对于初次分娩的父母来说,这次会面可能尤其重要,因为他们大多没有产前分娩环境的体验。本研究旨在探讨初产妇及其伴侣在初次抵达医院产房时与助产士和其他产科医护人员相遇的意义。

方法

选择解释学、反思性的生活世界研究方法来确定意义、理解和解释的模式。来自瑞典西部的参与者在产后接受了访谈;其中 37 人进行了单独访谈,28 人进行了焦点小组访谈。

结果

确定了四个主题:“时机恰到好处”、“等待信息告知”、“处于劣势地位”和“带着复杂的情绪面对现实”。这一现象的最终解释是“等待进入产房世界的许可”。

结论

研究结果表明,父母在努力确定到达产房的适当时间。在这种陌生的情况下,父母表现出一种不对称的权力关系,他们顺从地等待关注。这些发现表明,产房进入过程不是以父母为中心的。由于进入产房为分娩的其余部分定下了基调,因此在未来的研究和实践中,从产科医护人员的角度来看,这段分娩过程需要更多的关注。

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