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伊朗母亲在感知规范背景下对分娩方式的选择:一项内容分析研究。

Iranian mothers' selection of a birth method in the context of perceived norms: a content analysis study.

作者信息

Abbaspoor Zahra, Moghaddam-Banaem Lida, Ahmadi Fazlollah, Kazemnejad Anooshirvan

机构信息

Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

Midwifery. 2014 Jul;30(7):804-9. doi: 10.1016/j.midw.2013.06.003. Epub 2013 Jul 17.

DOI:10.1016/j.midw.2013.06.003
PMID:23870747
Abstract

OBJECTIVE

to describe women's perceptions of choosing a particular birth method; normal childbirth or caesarean section in the absence of medical indications.

DESIGN

a descriptive qualitative content analysis was used for data gathering and analysis. Interviews were held with 18 pregnant and postnatal women. The participants were recruited using a purposive sampling method. Interviews were begun with a general question and were followed with specific questions.

SETTING

three semi-public and public hospitals and two health care centres in an urban area of Iran were the locations of data gathering. Data analysis and data collection were conducted concurrently and interviews were discontinued when data saturation was reached.

PARTICIPANTS

the participants consisted of 18 women (four pregnant and 14 postnatal) recruited using a purposive sampling method.

FINDINGS

'socio-economic and cultural norms' was the main theme that emerged in this study. Four other categories comprised the content of interviews: 'cultural and religious acceptance', 'social acceptance', 'psychological-social support', and 'economical acceptance'.

CONCLUSIONS AND IMPLICATIONS

socio-cultural, religious and economical norms in the Iranian society play main roles in the selection of the birth method by Iranian women. Health care policy-makers are expected to attend to the factors influencing women's decision-making on the childbirth method to reduce the number of unnecessary caesarean sections.

摘要

目的

描述女性在无医学指征情况下对选择特定分娩方式(顺产或剖宫产)的看法。

设计

采用描述性定性内容分析法进行数据收集与分析。对18名孕妇及产后女性进行了访谈。参与者采用目的抽样法招募。访谈以一个一般性问题开始,随后是具体问题。

地点

伊朗一个城市地区的三家半公立和公立医院以及两个医疗保健中心为数据收集地点。数据分析和数据收集同时进行,当达到数据饱和时停止访谈。

参与者

参与者包括18名女性(4名孕妇和14名产后女性),采用目的抽样法招募。

结果

“社会经济和文化规范”是本研究中出现的主要主题。其他四个类别构成了访谈内容:“文化和宗教接受度”、“社会接受度”、“心理 - 社会支持”和“经济接受度”。

结论与启示

伊朗社会的社会文化、宗教和经济规范在伊朗女性选择分娩方式中起主要作用。预计医疗保健政策制定者应关注影响女性分娩方式决策的因素,以减少不必要的剖宫产数量。

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