Gipson Jessica D, Gyaltsen Kunchok, Gyal Lhusham, Kyi Tsering, Hicks Andrew L, Pebley Anne R
Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA; California Center for Population Research, UCLA, Los Angeles, CA, USA.
Tso-ngon (Qinghai) University Tibetan Medical College (TUTMC), Xining City, Qinghai Province, China; Kumbum Tibetan Medical Hospital, Kumbum Monastery, Lusar (CH: Huangzhong), Qinghai Province, China.
Int J Gynaecol Obstet. 2015 Jun;129(3):244-7. doi: 10.1016/j.ijgo.2014.12.012. Epub 2015 Mar 4.
To identify sociodemographic characteristics and factors involved in Tibetan women's decisions to deliver at the Tibetan Birth and Training Center (TBTC) in rural western China.
In the present mixed-methods study, a random sample of married women who delivered at the TBTC between June 2011 and June 2012 were surveyed. Additionally, four focus group discussions were conducted among married women living in the TBTC catchment area. Descriptive analyses were conducted, and dominant themes were identified.
In focus group discussions, women (n=33) reported that improved roads and transportation meant that access to health facilities was easier than in the past. Although some of the 114 survey participants voiced negative perceptions of healthcare facilities and providers, 99 (86.8%) indicated that they chose to deliver at the TBTC because they preferred to have a doctor present. Most women (75 [65.8%]) said their mother/mother-in-law made the final decision about delivery location. Women valued logistic and cultural aspects of the TBTC, and 108 (94.7%) said that they would recommend the TBTC to a friend.
Study participants preferred delivery care that combines safety and comfort. The findings highlight avenues for further promotion of facility delivery among populations with lower rates of skilled deliveries.
确定中国西部农村地区藏族妇女选择在藏族生育与培训中心（TBTC）分娩的社会人口学特征及相关因素。
在本混合方法研究中，对2011年6月至2012年6月期间在TBTC分娩的已婚妇女进行随机抽样调查。此外，还对居住在TBTC服务区域内的已婚妇女进行了四次焦点小组讨论。进行描述性分析并确定主要主题。
在焦点小组讨论中，33名妇女报告称道路和交通条件的改善意味着前往卫生设施比过去更容易。虽然114名调查参与者中有一些人对医疗设施和医护人员表达了负面看法，但99人（86.8%）表示她们选择在TBTC分娩是因为希望有医生在场。大多数妇女（75人[65.8%]）表示她们的母亲/婆婆做出了关于分娩地点的最终决定。妇女们重视TBTC的后勤和文化方面，108人（94.7%）表示她们会向朋友推荐TBTC。
研究参与者更喜欢将安全性与舒适性相结合的分娩护理服务。研究结果突出了在熟练接生率较低的人群中进一步推广机构分娩的途径。
