Ross-Davie Mary, McElligott Mary, King Karen, Little Margaret
Pract Midwife. 2014 Jun;17(6):19-22.
This paper draws on the findings of an observational study of intrapartum care in Scotland, UK. Observations lasting up to three hours were undertaken of 49 labour episodes. Quantitative data gathered through the study identified associations between women's feelings about the support they received and the proportion of time that their midwife was present in the labour room and between the midwife's presence and the type of birth. Reflections on the care observed during the 104 hours of observations identified several key consequences of the midwife's absence from the room: heightened anxiety of the woman and her birth partner; a reduction in opportunities to build rapport and offer support; and a reduction in the midwife's ability to monitor the progress of the labour accurately. The study also found that those midwives who were out of the room more, were less supportive of the women in their care when they were in the room.
本文借鉴了英国苏格兰一项关于产时护理的观察性研究结果。对49例分娩过程进行了长达三小时的观察。通过该研究收集的定量数据确定了女性对所获支持的感受与助产士在产房的在场时间比例之间的关联，以及助产士的在场情况与分娩类型之间的关联。对104小时观察期间所观察到的护理情况进行反思后发现，助产士不在产房会产生几个关键后果：产妇及其分娩伴侣的焦虑加剧；建立融洽关系和提供支持的机会减少；助产士准确监测产程进展的能力下降。该研究还发现，那些不在产房时间更多的助产士，在产房时对其所护理的女性的支持也更少。
