Klomp Trudy, Manniën Judith, de Jonge Ank, Hutton Eileen K, Lagro-Janssen Antoine L M
Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands.
Department of Midwifery Science, AVAG and EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Van der Boechorststraat 7, D4-40, 1081 BT Amsterdam, the Netherlands.
Midwifery. 2014 Apr;30(4):432-8. doi: 10.1016/j.midw.2013.04.013. Epub 2013 Jun 19.
to investigate factors important to women receiving midwife-led care with regard to their expectations for management of labour pain.
semi-structured ante partum interviews and analyses using constant comparison method.
fifteen pregnant women between 36 and 40 weeks gestation receiving midwife-led care.
five midwifery practices across the Netherlands between June 2009 and July 2010.
women's expectations regarding management of labour pain.
we found three major themes to be important in women's expectations for management of labour pain: preparation, support and control and decision-making. In regards to all these themes, three distinct approaches towards women's planning for pain management in labour were identified: the 'pragmatic natural', the 'deliberately uninformed' and the 'planned pain relief' approach.
midwives need to recognise that women take different approaches to pain management in labour in order to adapt care to the individual woman.
调查接受助产士主导护理的女性在分娩疼痛管理期望方面的重要因素。
采用持续比较法进行半结构化产前访谈及分析。
15名妊娠36至40周接受助产士主导护理的孕妇。
2009年6月至2010年7月间荷兰的5家助产机构。
女性对分娩疼痛管理的期望。
我们发现女性对分娩疼痛管理的期望中有三个主要主题很重要：准备、支持与控制以及决策。关于所有这些主题，确定了女性在分娩疼痛管理规划方面的三种不同方法：“务实自然”法、“刻意不知情”法和“计划疼痛缓解”法。
助产士需要认识到女性在分娩疼痛管理上采取不同方法，以便使护理适应个体女性。
