Department of Women's Health, St. Olavs University Hospital, Olav Kyrres gate 17, Trondheim, Norway.
Midwifery. 2013 Apr;29(4):407-15. doi: 10.1016/j.midw.2012.09.006. Epub 2013 Feb 8.
the aim of the present study was to gain a deeper understanding of how relational continuity in the childbearing process may influence the woman's birth experience. RESEARCH DESIGN/SETTING: a Q-methodological approach was chosen, as it allows the researcher to systematically assess subjectivity. 23 women were invited to sort a sample of 48 statements regarding their subjective view of birth experience after having participated in a pilot project in Norway, where six midwifery students provided continuity of care to 58 women throughout the childbearing process. The sorting patterns were subsequently factor-analysed, using the statistical software 'PQ' which reveals one strong and one weaker factor. The consensus statements and the defining statements for the two factors were later interpreted.
both factors seemed to represent experiences of psychological trust and a feeling of team work along with the midwifery student. Both factors indicated the importance of quality in the relation. Factor one represented experiences of presence and emotional support in the relationship. It also represented a feeling of personal growth for the women. Factor two was defined by experiences of predictability in the relation and process, as well as the feeling of interdependency in the relation. According to quality in the relation, women defining factor two experienced that the content, not only the continuity in the relation, was important for the birth experience.
relational continuity is a key concept in the context of a positive birth experience. Quality in the relation gives the woman a possibility to experience positivity during the childbearing process. Continuity in care and personal growth related to birth promote empowerment for both the woman and her partner. Relational continuity gives an opportunity for midwives to provide care in a more holistic manner.
本研究旨在更深入地了解生育过程中的关系连续性如何影响女性的分娩体验。
研究设计/环境：选择了 Q 方法学方法，因为它允许研究人员系统地评估主观性。邀请了 23 名女性对 48 个关于分娩体验的陈述进行排序，这些女性曾参与过挪威的一个试点项目，在该项目中，六名助产士学生在整个生育过程中为 58 名女性提供连续性护理。随后使用统计软件“PQ”对排序模式进行因子分析，该软件揭示了一个强因子和一个弱因子。随后解释了共识陈述和两个因子的定义陈述。
两个因素似乎都代表了对心理信任和与助产士学生团队合作的感觉，以及对关系质量的重视。第一个因素代表了关系中的存在和情感支持体验。它还代表了女性个人成长的感觉。第二个因素由关系中可预测性和过程的体验以及关系中相互依存的感觉定义。根据关系质量，定义第二个因素的女性体验到关系中的内容，而不仅仅是连续性，对分娩体验很重要。
关系连续性是积极分娩体验背景下的一个关键概念。关系质量使女性有机会在生育过程中体验积极的体验。护理连续性和与分娩相关的个人成长促进了女性及其伴侣的赋权。关系连续性为助产士提供更全面护理的机会。
