Drew N C, Salmon P, Webb L
Queen Elizabeth II Hospital, Welwyn Garden City, Herts.
Br J Obstet Gynaecol. 1989 Sep;96(9):1084-8. doi: 10.1111/j.1471-0528.1989.tb03386.x.
A sample of 15 women was interviewed 18-96 h postnatally to identify objective features of labour and postnatal care about which they expressed preferences. The importance of each item to a mother's satisfaction was then rated by a sample of 224 similar women. The same questionnaire was also completed by 28 midwives and 52 obstetricians. The items rated most important concerned the explanation of procedures and the involvement of mothers in administering or choosing them. Second was support from the presence of a partner and qualified hospital staff, third the physical comfort of the postnatal ward. The avoidance of obstetric interventions, such as episiotomy or use of forceps, was less important than the presence of these other features. The mean ranking given to each item by the midwives and obstetricians correlated very highly with that given by the mothers; those caring for obstetric patients are much more sensitive to their preferences than is popularly believed. There was no evidence that midwives perceived patients' needs more accurately than did the obstetricians. Discrepancies between the three groups' ranking of specific items may reflect the defence of their respective roles by each profession.
对15名女性在产后18至96小时进行了访谈，以确定她们表达了偏好的分娩和产后护理的客观特征。然后，由224名情况类似的女性对每个项目对母亲满意度的重要性进行评分。28名助产士和52名产科医生也填写了相同的问卷。评分最高的项目涉及程序解释以及母亲参与管理或选择程序。其次是伴侣和合格医院工作人员在场给予的支持，第三是产后病房的身体舒适度。避免产科干预措施，如会阴切开术或使用产钳，不如其他这些特征重要。助产士和产科医生对每个项目给出的平均排名与母亲给出的排名高度相关；照顾产科患者的人比普遍认为的更能敏锐地察觉到她们的偏好。没有证据表明助产士比产科医生更准确地感知患者的需求。三组对特定项目的排名差异可能反映了每个专业对各自角色的维护。
