Lewis Lucy, Hauck Yvonne L, Ritchie Stephanie, Barnett Lisa, Nunan Heather, Rivers Catherine
School of Nursing and Midwifery, Curtin University, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
Midwifery. 2014 Mar;30(3):e131-6. doi: 10.1016/j.midw.2013.12.009. Epub 2013 Dec 24.
to add to knowledge around women's perceptions of their preparation for and actual experience of a recent scheduled caesarean birth.
DESIGN, PARTICIPANTS AND SETTING: a mixed method study incorporating a postal survey and one-on-one interviews was used. The survey provided feedback on resources to prepare women for their caesarean birth such as a positive birth class, DVD and birth plan. Women were also invited to participate in an interview to share perceptions of their preparation and actual birth experience. Participants attended the only public obstetric tertiary hospital in Western Australia and experienced their caesarean birth between August and December 2012 (n=256). Frequency distributions and univariate comparisons were employed for categorical data, whereas thematic analysis was undertaken with transcripts to extract common themes.
data reflect 46% (117 out of 256) of women returned a postal survey. The interview option was removed after three months of data collection, when 38 women were interviewed and data saturation was reached. Of the 61% (71 of 117) who completed a birth plan, 59% (42 of 71) felt it was used to guide their care. Only 38% (44 of 117) were able to stay together with their (baby and partner) in recovery. Thematic analysis revealed a positive theme suggesting their experience 'couldn't have been 'better' with sub-themes: 'involved in care'; 'informed the whole way through'; 'magical for him to be near me' and 'everything was done brilliantly'. Negative reflections centred around 'we were just a number' and included four sub-themes: 'no option'; 'still had questions'; 'separated from him and her' and 'none of it happened'.
acknowledgement that a scheduled caesarean section is more than a surgical procedure, but a birth is paramount. For women to have a positive birth experience we must respect their wishes within their birth plan and embrace a family friendly model, where mothers, partners and babies can stay together.
增加关于女性对近期择期剖宫产的准备情况及实际体验的认知。
设计、参与者与研究背景：采用了一项混合方法研究，包括邮寄调查和一对一访谈。该调查提供了有关为女性剖宫产做准备的资源的反馈，如积极分娩课程、DVD和分娩计划。还邀请女性参加访谈，分享她们对准备情况和实际分娩体验的看法。参与者来自西澳大利亚唯一的公立产科三级医院，并于2012年8月至12月期间经历了剖宫产（n = 256）。分类数据采用频率分布和单变量比较，而对访谈记录进行主题分析以提取共同主题。
数据显示46%（256人中的117人）的女性回复了邮寄调查。在收集数据三个月后取消了访谈选项，当时有38名女性接受了访谈并达到了数据饱和。在完成分娩计划的61%（117人中的71人）中，59%（71人中的42人）认为该计划被用于指导她们的护理。只有38%（117人中的44人）能够在恢复过程中与（婴儿和伴侣）待在一起。主题分析揭示了一个积极主题，表明她们的经历“再好不过了”，子主题包括：“参与护理”；“全程被告知”；“他在我身边很神奇”以及“一切都做得非常出色”。负面反馈集中在“我们只是一个数字”，包括四个子主题：“别无选择”；“仍有疑问”；“与他和她分开”以及“一切都未发生”。
认识到择期剖宫产不仅仅是一个外科手术，而分娩才是至关重要的。为了让女性有积极的分娩体验，我们必须尊重她们在分娩计划中的意愿，并采用家庭友好模式，让母亲、伴侣和婴儿能够待在一起。
