Hildingsson Ingegerd, Karlström Annika, Haines Helen, Johansson Margareta
Department of Nursing, Mid Sweden University, Sundsvall, Sweden; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Sex Reprod Healthc. 2016 Mar;7:27-32. doi: 10.1016/j.srhc.2015.11.002. Epub 2015 Nov 12.
Sweden has an international reputation for offering high quality maternity care, although models that provide continuity of care are rare. The aim was to explore women's interest in models of care such as continuity with the same midwife, homebirth and birth center care.
A prospective longitudinal survey where 758 women's interest in models such as having the same midwife throughout antenatal, intrapartum and postpartum care, homebirth with a known midwife, and birth center care were investigated.
Approximately 50% wanted continuity of care with the same midwife throughout pregnancy, birth and the postpartum period. Few participants were interested in birth center care or home birth. Fear of giving birth was associated with a preference for continuity with midwife.
Continuity with the same midwife could be of certain importance to women with childbirth fear. Models that offer continuity of care with one or two midwives are safe, cost-effective and enhance the chance of having a normal birth, a positive birth experience and possibly reduce fear of birth. The evidence is now overwhelming that all women should have maternity care delivered in this way.
瑞典在提供高质量产科护理方面享有国际声誉，尽管提供连续性护理的模式很少见。目的是探讨女性对诸如由同一位助产士提供连续性护理、在家分娩和在分娩中心分娩等护理模式的兴趣。
一项前瞻性纵向调查，调查了758名女性对以下模式的兴趣，即在整个产前、产时和产后护理过程中由同一位助产士护理、由熟悉的助产士在家分娩以及在分娩中心分娩。
约50%的女性希望在整个孕期、分娩期和产后由同一位助产士提供连续性护理。很少有参与者对在分娩中心分娩或在家分娩感兴趣。害怕分娩与倾向于由助产士提供连续性护理有关。
对于害怕分娩的女性来说，由同一位助产士提供连续性护理可能具有一定的重要性。由一两名助产士提供连续性护理的模式是安全、具有成本效益的，并且增加了顺产、获得积极分娩体验以及可能减少对分娩恐惧的机会。现在有压倒性的证据表明，所有女性都应该接受这种方式的产科护理。
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