Louise Herrington School of Nursing, Baylor University, 3700 Worth Street, Dallas, TX 75246, USA; Visiting Professor, Department of Nursing Science, University of Johannesburg, Johannesburg, South Africa.
Department of Nursing Science, University of Johannesburg, Johannesburg, South Africa.
Women Birth. 2018 Feb;31(1):e42-e50. doi: 10.1016/j.wombi.2017.06.015. Epub 2017 Jul 12.
The manner that birth events unfold can have a lasting impact on women. Giving voice to women's experiences is key in the creation of care that embodies humanistic, family-centred service.
The aim of this research was to describe the experiences of women receiving care during childbirth.
The design was qualitative and descriptive using thematic analysis to analyse women's birth stories. A purposive sample of women (N=12) who had recently given birth in South Africa was selected. Participants were recruited who had delivered across a variety of settings: public, private, and maternity hospital, as well as at home. Data were collected using in-depth interviews and field notes.
Four themes were noted: cocoon of compassionate care, personal regard for shared decision-making, beliefs about birth, and protection. Themes demonstrated both caring and non-caring behaviours including feelings of sadness, loneliness and being unwanted, being scared and uncertain, and overall dissatisfaction with the birth experience. Irrespective of setting, patients felt the absence of shared decision-making; the exception was where care was with midwives in an independent maternity hospital or at home.
A period of high vulnerability, birth is often met with care perceived as non-caring and lacking in compassion. Many women reported failure to be included as a partner in decision-making where birth occurred in private or public hospital settings. Where a midwifery model of care was in place, experiences were uniformly positive.
Fundamental change is needed in midwifery education and scope of practice, with overhaul of health system resourcing.
分娩过程的方式会对女性产生持久的影响。让女性的体验发声是创造体现人文关怀、以家庭为中心的服务的关键。
本研究旨在描述接受分娩护理的女性的体验。
采用定性和描述性设计，使用主题分析来分析女性的分娩故事。选择了最近在南非分娩的 12 名女性作为目的抽样。参与者来自不同的环境：公共、私人和妇产医院，以及家庭。使用深入访谈和现场笔记收集数据。
注意到四个主题：充满同情的关怀茧、对共同决策的个人尊重、关于分娩的信念和保护。主题展示了关怀和不关怀的行为，包括悲伤、孤独和被遗弃、恐惧和不确定，以及对分娩体验的总体不满。无论环境如何，患者都感到缺乏共同决策；例外的是在独立妇产医院或家中由助产士护理的情况。
分娩是一个高度脆弱的时期，往往会遇到被认为不关怀和缺乏同情心的护理。许多女性报告说，在私人或公共医院分娩时，她们没有被包括在决策伙伴中。在助产士模式护理的情况下，体验普遍是积极的。
需要对助产士教育和实践范围进行根本性改革，并全面改革卫生系统资源。
