处于安全且有保障的地方，是分娩早期的核心：瑞典背景下的二次分析
Being in a safe and thus secure place, the core of early labour: A secondary analysis in a Swedish context.
作者信息
Carlsson Ing-Marie
机构信息
School of Health and Welfare, department of health and nursing, Halmstad University, Halmstad, Sweden;
出版信息
Int J Qual Stud Health Well-being. 2016 May 10;11:30230. doi: 10.3402/qhw.v11.30230. eCollection 2016.
BACKGROUND
Early labour is the very first phase of the labour process and is considered to be a period of time when no professional attendance is needed. However there is a high frequency of women who seek care at the delivery wards during this phase. When a woman is admitted to the delivery ward, one role for midwives is to determine whether the woman is in established labour or not. If the woman is assessed as being in early labour she will probably then be advised to return home. This recommendation is made due to past research that found that the longer a woman is in hospital the higher the risk for complications for her and her child. Women have described how this situation leaves them in a vulnerable situation where their preferences are not always met and where they are not always included in the decision-making process.
AIM
The aim of this study was to generate a theory based on where a woman chooses to be during the early labour process and to increase our understanding about how experiences can differ from place to place.
METHODS
The method was a secondary analysis with grounded theory. The data used in the analysis was from two qualitative interview studies and 37 transcripts.
CONCLUSION
The findings revealed a substantive theory that women needed to be in a safe and thus secure place during early labour. This theory also describes the interplay between how women ascribed their meaning of childbirth as either a natural live event or a medical one, how this influenced where they wanted to be during early labour, and how that chosen place influenced their experiences of labour and birth.
背景
早期分娩是分娩过程的第一阶段，被认为是一个不需要专业护理人员在场的时期。然而，在此阶段有很多女性会前往产房寻求护理。当一名女性被收治到产房时，助产士的一项职责是确定该女性是否已进入正式分娩阶段。如果该女性被评估为处于早期分娩阶段，她可能会被建议回家。做出这一建议是基于过去的研究，该研究发现女性住院时间越长，她和孩子出现并发症的风险就越高。女性描述了这种情况如何使她们处于弱势地位，她们的偏好并不总是能得到满足，而且她们也并不总是被纳入决策过程。
目的
本研究的目的是基于女性在早期分娩过程中选择所处的地点生成一种理论，并增进我们对不同地点的经历如何存在差异的理解。
方法
采用基于扎根理论的二次分析方法。分析中使用的数据来自两项定性访谈研究及37份访谈记录。
结论
研究结果揭示了一种实质性理论，即女性在早期分娩期间需要处于一个安全因而安心的地方。该理论还描述了女性如何将分娩的意义归结为自然的生命事件或医疗事件之间的相互作用，这如何影响她们在早期分娩期间想要身处的地点，以及那个所选地点如何影响她们的分娩经历。
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