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对加泰罗尼亚地区分娩计划使用情况的批判性综述。

A critical review of the birth plan use in Catalonia.

作者信息

Biescas Herminia, Benet Marta, Pueyo Maria J, Rubio Anna, Pla Margarita, Pérez-Botella Mercedes, Escuriet Ramón

机构信息

General Directorate for Health Planning, Ministry of Health of Catalonia, Spain.

Inclusive Societies, Policies and Communities Research Group, Faculty of Health and Welfare Sciences, University of Vic - Central University of Catalonia, Spain.

出版信息

Sex Reprod Healthc. 2017 Oct;13:41-50. doi: 10.1016/j.srhc.2017.05.006. Epub 2017 Jun 11.

DOI:10.1016/j.srhc.2017.05.006
PMID:28844357
Abstract

INTRODUCTION

The birth plan allows the woman to express her expectations and needs with regards to the childbearing continuum but its use has been debated in the clinical context and in published literature. The birth plan was first introduced in the Spanish Health Service in 2008 through the Strategy for the Care in Normal Childbirth. In Catalonia, the Normal Childbirth Care Programme has promoted the use of birth plans in hospitals participating in this Programme.

OBJECTIVE

This works describes and analyses the birth plans produced by the participating hospitals in order to gather knowledge about the options available to women.

METHOD

Qualitative study in which the content of birth plans is systematically and quantitatively described in order to evaluate options available to women. The final sample includes all the birth plans provided by 30 Catalonian public hospitals. Following an initial assessment, it was decided to devise a grading scale which allowed to code and assign a value to each of the items contained in the birth plans.

RESULTS

Three different types of birth plan are identified: a) those which present a list of items with no (or very little) associated explanations, b) list of items with some explanations and c) plans without items which only explain normal working practices in the hospital and/or protocols.

摘要

引言

分娩计划使女性能够表达其在整个分娩过程中的期望和需求,但其在临床环境和已发表文献中一直存在争议。分娩计划于2008年通过正常分娩护理战略首次在西班牙卫生服务体系中引入。在加泰罗尼亚,正常分娩护理计划推动了参与该计划的医院使用分娩计划。

目的

本研究描述并分析参与医院制定的分娩计划,以便了解女性可选择的方案。

方法

采用定性研究,对分娩计划的内容进行系统的定量描述,以评估女性可选择的方案。最终样本包括30家加泰罗尼亚公立医院提供的所有分娩计划。经过初步评估,决定设计一个评分量表,以便对分娩计划中包含的每个项目进行编码和赋值。

结果

确定了三种不同类型的分娩计划:a)列出一系列项目但没有(或几乎没有)相关解释的;b)列出一系列项目并带有一些解释的;c)没有项目,仅解释医院正常工作流程和/或协议的。

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Int J Nurs Stud. 2010 Jul;47(7):806-14. doi: 10.1016/j.ijnurstu.2009.11.012. Epub 2009 Dec 29.
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