Kweekel Liselotte, Gerrits Trudie, Rijnders Marlies, Brown Patrick
"Een nieuw begin," Sommelsdijk, The Netherlands.
Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, The Netherlands.
Birth. 2017 Mar;44(1):41-47. doi: 10.1111/birt.12260. Epub 2016 Nov 7.
CenteringPregnancy (CP) is a specific model of group-based prenatal care for women, implemented in 44 midwifery practices in The Netherlands since 2011. Women have evaluated CP positively, especially in terms of social support, and improvements have been made in birthweight and preterm-birth outcomes; however, there is limited understanding as to why. The purpose of this study was to examine the mechanisms that create trusting relationships within CP to better understand CP outcomes and effectiveness.
A qualitative study was conducted using in-depth interviews with 26 (former) CP participants, alongside observations of CP sessions. All interviews were transcribed and analyzed following open, axial, and selective coding.
Most women characterized trust as a positive expectation about how others would respond to sensitive information that was shared within the group. Trust emerged within the data as a multidimensional concept and several preconditions seemed crucial in building trusting relations: vulnerability, communication, reciprocity, chemistry, and atmosphere. The facilitating of interpersonal trust among CP participants enhanced group processes, especially as a basis for social support by which women said they were more eager to share sensitive information in a trusting environment.
Processes of trust were interwoven within various CP group dynamics. Trust facilitated social support which in turn enabled reassurance and the building of women's self-confidence.
“以孕妇为中心的孕期护理”（CenteringPregnancy，简称CP）是一种针对女性的特定群体产前护理模式，自2011年以来在荷兰的44家助产机构实施。女性对CP给予了积极评价，尤其是在社会支持方面，并且出生体重和早产结局也有所改善；然而，对于原因的理解却很有限。本研究的目的是探究在CP中建立信任关系的机制，以更好地理解CP的结局和效果。
采用定性研究方法，对26名（前）CP参与者进行深入访谈，并观察CP课程。所有访谈均进行转录，并按照开放编码、轴心编码和选择编码进行分析。
大多数女性将信任描述为对他人如何回应在群体中分享的敏感信息的积极期望。信任在数据中呈现为一个多维概念，几个先决条件在建立信任关系中似乎至关重要：脆弱性、沟通、互惠、默契和氛围。CP参与者之间人际信任的促进增强了群体过程，特别是作为社会支持的基础，女性表示她们更渴望在信任的环境中分享敏感信息。
信任过程在各种CP群体动态中相互交织。信任促进了社会支持，进而给予安心感并建立了女性的自信心。
