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乌干达男性在伴侣孕期及分娩期间的陪伴、认知与经历的探索性研究。

An exploratory study of men's companionship, perceptions and experiences during pregnancy and delivery in Uganda.

作者信息

Lwanga H, Atuyambe L, Sempewo H, Lumala A, Byaruhanga R N B

机构信息

St Francis Hospital Nsambya, Mother Kevin Post Graduate Medical School Uganda Martyrs University, Nkozi, Uganda.

Department of Community Health and Behavioural Sciences, Makerere University School of Public Health, College of Health Sciences, Kampala, Uganda.

出版信息

BMC Pregnancy Childbirth. 2017 Jun 19;17(1):196. doi: 10.1186/s12884-017-1385-6.

DOI:10.1186/s12884-017-1385-6
PMID:28629332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5477342/
Abstract

BACKGROUND

Globally, low involvement of men in maternal health care services remains a problem to health care providers and policy makers. Men's support is essential for making women's world better. There are increasing debates among policymakers and researchers on the role of men in maternal health programs, which is a challenge in patriarchal societies like Uganda. The aim of the study was to assess companionship during delivery; men's perception and experiences during pregnancy and delivery.

METHODS

This was a descriptive exploratory study using a qualitative approach. This study involved 16 male participants who were present in the labor room during the delivery of their child. In-depth interviews (IDIs) were the main data collection methods used in the study. Purposive sampling was used to select participants who share particular characteristics with the potential of providing rich, relevant, and diverse data. The interviews were tape-recorded with the permission of the participants; in addition, the interviewer took notes. Each interview lasted between 30 and 45 min. The transcripts were entered into ATLAS.ti for analysis. Manifest content analysis was used.

RESULTS

The major themes were; feelings about attending child birth, responsibilities during child birth, positive experiences and negative experiences about child birth. Men are willing to participate in child birth and should be encouraged as many are the decision makers in the family. Admission of men into the delivery room, improves family togetherness. The women felt loved and treasured. The men reported bondage to their partners and new born.

CONCLUSIONS

Men's involvement in the child birth process was associated with a more perceived bondage with the partner and the newborn. Their presence helped to promote a calm and successful child birth process. Hospitals should work on measures encouraging male involvement.

摘要

背景

在全球范围内,男性对孕产妇保健服务的参与度较低,这仍然是医疗服务提供者和政策制定者面临的一个问题。男性的支持对于让女性的世界变得更美好至关重要。政策制定者和研究人员围绕男性在孕产妇保健项目中的作用展开了越来越多的讨论,在乌干达这样的父权制社会中,这是一项挑战。本研究的目的是评估分娩期间的陪伴情况;男性在怀孕和分娩期间的认知和经历。

方法

这是一项采用定性方法的描述性探索性研究。本研究涉及16名在其孩子分娩期间在产房的男性参与者。深度访谈是本研究中使用的主要数据收集方法。采用目的抽样法选择具有提供丰富、相关和多样数据潜力的具有特定特征的参与者。经参与者许可,访谈进行了录音;此外,访谈者做了笔记。每次访谈持续30至45分钟。访谈记录被录入ATLAS.ti进行分析。采用了显性内容分析法。

结果

主要主题包括:对参与分娩的感受、分娩期间的责任、分娩的积极经历和消极经历。男性愿意参与分娩,并且由于许多男性是家庭中的决策者,所以应该受到鼓励。允许男性进入产房,增进了家庭团聚。女性感到被爱和珍视。男性报告与伴侣和新生儿之间产生了联系。

结论

男性参与分娩过程与更多地感受到与伴侣和新生儿之间的联系有关。他们的在场有助于促进平静且成功的分娩过程。医院应采取措施鼓励男性参与。

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本文引用的文献

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Malawian fathers' views and experiences of attending the birth of their children: a qualitative study.马拉维父亲对陪伴孩子出生的看法和经历:一项定性研究。
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Striving to promote male involvement in maternal health care in rural and urban settings in Malawi - a qualitative study.努力促进马拉维农村和城市地区男性参与孕产妇保健-一项定性研究。
Reprod Health. 2011 Dec 2;8:36. doi: 10.1186/1742-4755-8-36.