Hildingsson Ingegerd, Rubertsson Christine, Karlström Annika, Haines Helen
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Sex Reprod Healthc. 2018 Jun;16:50-55. doi: 10.1016/j.srhc.2018.02.006. Epub 2018 Feb 13.
Continuity with a known midwife might benefit women with fear of birth, but is rare in Sweden. The aim was to test a modified caseload midwifery model of care to provide continuity of caregiver to women with fear of birth.
A feasibility study where women received antenatal and intrapartum care from a known midwife who focused on women's fear during all antenatal visits. The study was performed in one antenatal clinic in central Sweden and one university hospital labor ward. Data was collected with questionnaires in mid and late pregnancy and two months after birth. The main outcome was fear of childbirth.
Eight out of ten women received all antenatal and intrapartum care from a known midwife. The majority had a normal vaginal birth with non-pharmacological pain relief. Satisfaction was high and most women reported that their fear of birth alleviated or disappeared.
Offering a modified caseload midwifery model of care seems to be a feasible option for women with elevated levels of childbirth fear as well as for midwives working in antenatal clinics as it reduces fear of childbirth for most women. Women were satisfied with the model of care and with the care provided.
与熟悉的助产士保持连续性护理可能对害怕分娩的女性有益，但在瑞典这种情况很少见。本研究旨在测试一种改良的个案管理助产护理模式，为害怕分娩的女性提供连续性的护理人员。
一项可行性研究，女性在整个产前检查期间接受来自熟悉的助产士的产前和产时护理，该助产士在所有产前检查中都关注女性的恐惧情绪。研究在瑞典中部的一个产前诊所和一家大学医院的产房进行。在孕中期、孕晚期以及产后两个月通过问卷调查收集数据。主要结果是对分娩的恐惧。
十分之八的女性从熟悉的助产士那里接受了所有产前和产时护理。大多数人通过非药物性镇痛进行了正常的阴道分娩。满意度很高，大多数女性报告说她们对分娩的恐惧减轻或消失了。
对于分娩恐惧程度较高的女性以及在产前诊所工作的助产士来说，提供改良的个案管理助产护理模式似乎是一个可行的选择，因为它能减轻大多数女性对分娩的恐惧。女性对护理模式和所提供的护理感到满意。
