Saftner Melissa A, Neerland Carrie, Avery Melissa D
The University of Minnesota School of Nursing, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
Midwifery. 2017 Oct;53:28-34. doi: 10.1016/j.midw.2017.07.012. Epub 2017 Jul 18.
The aim of this research study was to explore MCP's beliefs and attitudes about physiologic birth and to identify components of antenatal care that providers believe may impact a woman's confidence for physiologic labor and birth.
This qualitative descriptive study included maternity care providers (N=31) in the Midwestern United States. Providers participated in semi-structured interviews to describe their beliefs about physiologic birth, their role in providing information to women and specific care practices to promote women's confidence for physiologic birth.
Six themes emerged including: positive beliefs about physiologic birth, trusted relationship with provider, woman centered care, education and knowledge, barriers to confidence, and antenatal practices to enhance confidence. Variations in beliefs occurred amongst providers with different training (i.e., physicians and midwives).
Maternity care providers, including midwives, family physicians and obstetrician-gynecologists, overwhelmingly support a physiologic approach to labor and birth. These providers had a number of suggestions about how antenatal care could be enhanced in an effort to increase women's confidence during the antenatal period. Supporting physiologic birth is imperative for providers who wish to enhance outcomes for mothers and babies.
本研究旨在探讨产妇护理人员（MCP）对自然分娩的信念和态度，并确定护理人员认为可能影响女性自然分娩信心的产前护理组成部分。
这项定性描述性研究纳入了美国中西部的产妇护理人员（N = 31）。护理人员参与了半结构化访谈，以描述他们对自然分娩的信念、向女性提供信息的角色以及促进女性自然分娩信心的具体护理实践。
出现了六个主题，包括：对自然分娩的积极信念、与护理人员的信任关系、以女性为中心的护理、教育与知识、信心障碍以及增强信心的产前实践。不同培训背景的护理人员（即医生和助产士）在信念上存在差异。
包括助产士、家庭医生和妇产科医生在内的产妇护理人员绝大多数支持自然分娩方式。这些护理人员对如何加强产前护理以提高女性孕期信心提出了一些建议。对于希望改善母婴结局的护理人员来说，支持自然分娩至关重要。
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