Sigurðardóttir Valgerður Lísa, Gamble Jennifer, Guðmundsdóttir Berglind, Sveinsdóttir Herdís, Gottfreðsdóttir Helga
Landspítali - The National University Hospital of Iceland, Reykjavík, Iceland; Department of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
Griffith University, Brisbane, Australia.
Midwifery. 2019 Feb;69:29-38. doi: 10.1016/j.midw.2018.10.016. Epub 2018 Oct 27.
Negative birth experiences may have adverse effects on the wellbeing of women and babies. Knowledge about useful interventions to assist women in processing and resolving negative birth experiences is limited.
To explore women's experience and preferences of reviewing their birth experience at a special midwifery clinic.
The study is a qualitative content analysis of women's written text responses to semi-structured questions, included in a retrospective study.
A special counselling clinic, 'Ljáðu mér eyra', at Landspitali University Hospital in Reykjavik, provides women with an opportunity to review their birth experience and discuss their fears about an upcoming birth with a midwife.
SAMPLE, RECRUITMENT AND DATA COLLECTION: A questionnaire was sent to all women attending the clinic from 2006-2011 (n = 301). Of the 131 women completing and returning the questionnaire, 125 provided written responses to the open-ended questions. The questionnaire consisted of demographic and reproductive characteristics of women, questions about why they attended the clinic, whether their expectations were fulfilled, helpful components of the interview and open-ended questions about women's views of the process.
Data on participant characteristics, the reason for attending the clinic, whether the interview fulfilled their expectations and helpful components were analysed using quantitative descriptive data, while written responses to semi-structured questions were analysed using content analysis.
The main reasons for attending the clinic were a previous negative birth experience, anxiety about the upcoming birth, and/or loss of control during a prior birth. Two themes and three subthemes were identified. The overarching theme was 'on my terms' with the subthemes of 'being recognised', 'listening is paramount' and 'mapping the unknown'. The final theme was 'moving on'.
Women want to be recognised and invited to review their birth experience in a tailored conversation on their terms. By fulfilling their expectations of reviewing the birth experience, they regained control and strength to move on.
Findings support the importance of recognising women's need to review their birth experiences and offer an intervention to reflect on their perceptions. A discussion of the birth experience should be a routine part of maternity services.
负面的分娩经历可能会对女性和婴儿的健康产生不利影响。关于帮助女性处理和解决负面分娩经历的有效干预措施的知识有限。
探讨女性在一家特殊的助产士诊所回顾其分娩经历的体验和偏好。
本研究是对女性对半结构化问题的书面文本回复进行的定性内容分析，纳入一项回顾性研究。
雷克雅未克市Landspitali大学医院的一家名为“Ljáðu mér eyra”的特殊咨询诊所，为女性提供回顾其分娩经历并与助产士讨论她们对即将到来的分娩的恐惧的机会。
样本、招募与数据收集：向2006年至2011年期间在该诊所就诊的所有女性（n = 301）发送了一份问卷。在131名完成并返回问卷的女性中，125名对开放式问题提供了书面回复。问卷包括女性的人口统计学和生殖特征、她们就诊原因的问题、期望是否得到满足、访谈的有益部分以及关于女性对该过程看法的开放式问题。
使用定量描述性数据对参与者特征、就诊原因、访谈是否满足期望以及有益部分的数据进行分析，而对半结构化问题的书面回复则使用内容分析进行分析。
就诊的主要原因是之前有负面分娩经历、对即将到来的分娩感到焦虑和/或之前分娩时失去控制。确定了两个主题和三个子主题。总体主题是“按我的方式”，子主题为“被认可”、“倾听至关重要”和“探索未知”。最后一个主题是“继续前行”。
女性希望在按她们的方式进行的量身定制的对话中被认可并被邀请回顾其分娩经历。通过满足她们回顾分娩经历的期望，她们重新获得了继续前行的掌控感和力量。
研究结果支持认识到女性回顾其分娩经历的需求并提供一种反思其看法的干预措施的重要性。对分娩经历的讨论应成为产科服务的常规组成部分。
