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母亲负面分娩经历分析:一项定性研究。

The analysis of negative birth experiences of mothers: a qualitative study.

机构信息

a Department of Gynecology and Obstetrics Nursing, Faculty of Health Sciences , Karadeniz Technical University , Trabzon , Turkey.

b Institute of Health Science , Akdeniz University , Antalya , Turkey.

出版信息

J Reprod Infant Psychol. 2019 Apr;37(2):176-192. doi: 10.1080/02646838.2018.1540863. Epub 2018 Oct 30.

DOI:10.1080/02646838.2018.1540863
PMID:30375236
Abstract

OBJECTIVE

The aim of this study is to analyse the factors associated with a negative childbirth experience from the perspective of the women who gave birth vaginally.

BACKGROUND

A negative birth experience can pose a risk for both the maternal/newborn health and the health of the community by disturbing the physical and spiritual health of the woman/family.

METHODS

This qualitative study was conducted with 11 mothers who gave birth vaginally assisted by midwives in a state hospital. The data were collected using in-depth interviews and analysed using the thematic analysis technique.

RESULTS

The factors causing the women to have negative birth perceptions were analysed under four main themes: challenges/difficulties encountered, the inadequate communication of health professionals, embarrassment/privacy and inadequate hospital facilities. The mothers indicated that they had experienced their births negatively due to personal reasons such as the inability to cope with labour pain, inability to push, hospital policies such as interventions at birth and hunger. In addition, some of the participants stated that they had difficulty and felt embarrassed during vaginal examinations.

CONCLUSION

The sociocultural characteristics of mothers, hospital facilities and rules, medical and traditional practices at birth, inadequate empathic communication of health professionals and reproductive health policies can lead to negative childbirth experiences.

摘要

目的

本研究旨在从阴道分娩产妇的角度分析与负面分娩体验相关的因素。

背景

负面的分娩体验可能会通过扰乱妇女/家庭的身心健康,对母婴健康和社区健康构成风险。

方法

本定性研究纳入了 11 名在州立医院由助产士协助阴道分娩的产妇。使用深入访谈收集数据,并采用主题分析技术进行分析。

结果

导致产妇产生负面分娩认知的因素可归纳为四个主要主题:遇到的挑战/困难、卫生专业人员沟通不足、尴尬/隐私和医院设施不足。产妇表示,由于个人原因,如无法应对分娩疼痛、无法用力、医院政策(如分娩时干预)和饥饿等,导致她们的分娩体验不佳。此外,一些参与者表示,阴道检查时感到困难和尴尬。

结论

产妇的社会文化特征、医院设施和规定、分娩时的医疗和传统做法、卫生专业人员同理心沟通不足以及生殖健康政策可能导致负面的分娩体验。

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