McCarthy Claire M, Rochford Marie, Meaney Sarah, O'Donoghue Keelin
Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
National Perinatal Epidemiology Centre, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Ir J Med Sci. 2019 May;188(2):555-561. doi: 10.1007/s11845-018-1874-2. Epub 2018 Jul 23.
Positive contact with antenatal care and its providers improves positive outcomes for women and their babies. This involves the accrual and use of knowledge accumulated through education, experiential learning and other fora and is reliant on a positive experience.
Women's knowledge of antenatal and postnatal care was examined, in addition to the positive and negative feelings and experiences they associate with it.
Employing a mixed methodology, a self-administered questionnaire was distributed to women attending antenatal clinics. It consisted of open and closed questions examining women's experiences of antenatal care and knowledge of the intrapartum and postnatal journey. Following this, individual semi-structured interviews were conducted with eight postnatal women gaining further in-depth insight into their peripartum experiences.
Respondents to the questionnaire had varied opinions and beliefs about the purpose of antenatal care and prenatal screening policies, with the majority of their knowledge obtained from non-medical sources. The knowledge of labour and its complications was significantly better in multiparous women. However, in some postnatal scenarios, both cohorts lacked knowledge. In the qualitative study, women described positive feelings with their experience of antenatal care, with women expressing variations in the amount of knowledge they wanted to receive.
This research demonstrates the varied experiences of women attending our services, highlighting both the positive and negative aspects of care. Topics of poor knowledge are highlighted, particularly in primiparous women and regarding the postnatal period. Using this information, women can be provided with an optimised, personalised experience in our maternity services.
与产前护理及其提供者的积极接触可改善妇女及其婴儿的积极结局。这涉及通过教育、体验式学习和其他论坛积累并运用知识，且依赖于积极的体验。
除了检查妇女对产前和产后护理的积极和消极感受及经历外，还考察了她们对这些护理的了解。
采用混合方法，向参加产前诊所的妇女发放了一份自填式问卷。问卷包括开放式和封闭式问题，用以考察妇女的产前护理经历以及对分娩期和产后期的了解。在此之后，对八名产后妇女进行了个别半结构化访谈，以更深入地了解她们的围产期经历。
问卷受访者对产前护理和产前筛查政策的目的有不同的看法和信念，她们的大部分知识来自非医学来源。经产妇对分娩及其并发症的了解明显更好。然而，在一些产后情况中，两个群体都缺乏相关知识。在定性研究中，妇女描述了她们对产前护理经历的积极感受，不同妇女表示她们希望获得的知识量有所不同。
本研究表明了前来接受我们服务的妇女的不同经历，突出了护理的积极和消极方面。强调了知识欠缺的主题，特别是在初产妇和产后阶段。利用这些信息，可以在我们的产科服务中为妇女提供优化的个性化体验。
