Faculty of Health, University of East Anglia, United Kingdom.
Midwifery. 2012 Aug;28(4):391-7. doi: 10.1016/j.midw.2011.07.001. Epub 2011 Sep 9.
the term one-to-one support in labour is used in a range of research reports and policy documents internationally without a clear consensus on definition.
the aim of this paper is to examine the variety of meanings and to clarify the concept of one-to-one support in labour.
Walker and Avant provide a useful guide for the analysis of concepts and this has been used as a starting point from which to build our discussion. We systematically examined the literature to answer the 'who, what, when, where, and how' for providing one-to-one support in labour.
our paper examines the evidence for one-to-one support in the light of the range of meanings that have been attributed to the concept. Multiple meanings for the concept have created confusion and there is a need for greater clarity, which may be used in directing research, practice, and policy.
in spite of strong evidence for the benefits of one-to-one support in labour, the utility of the evidence base is limited by the failure to specify what is meant by one-to-one support leading to a lack of comparability/applicability. There is a need for research that focuses more clearly on articulating what happens during labour between the woman and the range of people who support her, in services that are deemed to offer one-to-one support.
在国际范围内的一系列研究报告和政策文件中，都使用了“一对一支持分娩”这一术语，但对于其定义尚未达成明确共识。
本文旨在探讨这一术语的多种含义，并厘清分娩中“一对一支持”这一概念。
沃克和阿凡特为概念分析提供了一个有用的指南，这成为了我们讨论的起点。我们系统地查阅了文献，以回答在分娩中提供一对一支持的“谁、什么、何时、何地和如何”的问题。
我们的论文根据该概念所具有的各种含义，对一对一支持的证据进行了审查。该概念的多重含义造成了混淆，因此需要更加明确，这可能有助于指导研究、实践和政策。
尽管有强有力的证据表明分娩中的一对一支持有益，但由于未能具体说明一对一支持的含义，导致证据基础的实用性受到限制，从而缺乏可比性/适用性。需要进行更多的研究，更明确地阐明在被认为提供一对一支持的服务中，女性及其支持人员在分娩期间的情况。
