Naber Nora L, Miller Suzanne, Baddock Sally A
Otago Polytechnic, School of Midwifery, Forth Street, Dunedin, Private Bag 1910, New Zealand 9054.
Otago Polytechnic, School of Midwifery, Forth Street, Dunedin, Private Bag 1910, New Zealand 9054.
Midwifery. 2018 Aug;63:24-32. doi: 10.1016/j.midw.2018.04.025. Epub 2018 May 8.
to consolidate existing research in the field of sibling attended birth (SAB) into a body of knowledge to inform decision-making processes and guide midwifery practice throughout the sibling attended birth experience.
An integrative literature review.
CINAHL Complete, Cochrane Library, PubMed, Index New Zealand, Australia/New Zealand Reference Centre, grey literature databases REVIEW METHODS: An extensive search of five electronic databases as well as 17 grey literature databases was conducted. Abstracts of 2340 papers and full texts of 39 papers were scrutinised for inclusion criteria leading to 22 studies being included in this review. The Crowe Critical Appraisal Tool was used to facilitate a systematic quality appraisal process.
This review included 22 studies (13 qualitative, 4 quantitative and 5 mixed methods). Studies were analysed using a narrative synthesis approach. Publications mainly focussed on families' motivations for choosing SAB, the preparation for the event, and the impact of SAB on children's behaviour and the infant/sibling relationship.
This review identified that children experienced birth as a positive, exciting and important life event and parents viewed their SAB experiences as overwhelmingly positive and reported a heightened sense of family unity. Included studies did not address the long term effects of sibling attended birth, however, in the short-term, children did not show signs of trauma or severe distress, though differing levels of transient fear and anxiety were described.
Families could benefit from receiving evidence based information to enable an informed decision regarding their children's involvement during pregnancy, birth and the immediate postpartum. Information shared by the midwife could focus on how families can achieve an optimal SAB experience for all family members.
整合同胞陪产（SAB）领域的现有研究成果，形成知识体系，为决策过程提供信息，并在同胞陪产过程中指导助产实践。
综合文献综述。
护理学与健康领域数据库（CINAHL Complete）、考克兰图书馆、医学期刊数据库（PubMed）、新西兰索引数据库、澳大利亚/新西兰参考中心、灰色文献数据库
对五个电子数据库以及17个灰色文献数据库进行了广泛搜索。对2340篇论文的摘要和39篇论文的全文进行了审查，以确定纳入标准，最终有22项研究被纳入本综述。使用克劳批判性评估工具促进系统的质量评估过程。
本综述纳入了22项研究（13项定性研究、4项定量研究和5项混合方法研究）。采用叙述性综合方法对研究进行分析。出版物主要关注家庭选择同胞陪产的动机、对该事件的准备情况，以及同胞陪产对儿童行为和婴儿/同胞关系的影响。
本综述发现，儿童将出生视为积极、令人兴奋且重要的人生事件，父母认为他们的同胞陪产经历绝大多数是积极的，并报告家庭凝聚力增强。纳入的研究未涉及同胞陪产的长期影响，然而，在短期内，儿童未表现出创伤或严重痛苦的迹象，尽管描述了不同程度的短暂恐惧和焦虑。
家庭可以从获得基于证据的信息中受益，以便就孩子在孕期、分娩和产后即刻的参与做出明智的决定。助产士分享的信息可以侧重于家庭如何为所有家庭成员实现最佳的同胞陪产体验。
