Akdeniz University, Faculty of Nursing, Department of Obstetrics & Gynaecological Nursing, Antalya, Turkey.
Akdeniz University, Faculty of Nursing, Department of Obstetrics & Gynaecological Nursing, Antalya, Turkey.
Women Birth. 2019 Dec;32(6):e515-e522. doi: 10.1016/j.wombi.2018.12.011. Epub 2018 Dec 29.
Although primarily stemming from research conducted in high-income countries, culturally sensitive knowledge of women's experiences with and needs during childbirth, as well as how such experiences affect their psychological health and wellbeing, is important to add to the big picture of women's experiences with childbirth worldwide.
The aim of the study was to clarify how primiparous women in Turkey experience childbirth and intrapartum care.
Grounded theory guided depth-interviews with 12 women, whose data were analysed according to the constant comparative method.
Participants reported wanting vaginal birth without interventions (i.e. normal birth), which required their empowerment as well as support from others. Although they recognised their readiness for the birth process as a decisive factor in coping with childbirth, they prioritised quality of care from healthcare professionals during birth, which most participants found unsatisfactory. They also highlighted the importance of giving birth in a health-promoting environment offering privacy, silence and comfort.
To support normal birth, the World Health Organization's intrapartum care model prioritises continuity of care, respectful labour and childbirth care, effective communication from healthcare personnel and emotional support from a companion of choice. Salutogenesis can also guide clinical birth practices to promote normal birth and positive birth experiences.
All women strove to experience normal birth, which required antenatal education and emotional support from a partner or family and from healthcare professionals. Normal birth and positive childbirth experiences also required quality intrapartum care and a health-promoting environment.
尽管主要源自高收入国家的研究，但了解女性在分娩过程中的体验和需求，以及这些体验如何影响她们的心理健康和幸福感，对于增加全球范围内女性分娩体验的全貌具有重要意义。
本研究旨在阐明土耳其初产妇如何体验分娩和产时护理。
采用扎根理论指导的深度访谈法对 12 名女性进行访谈，其数据采用恒定性比较方法进行分析。
参与者报告希望无干预的阴道分娩（即自然分娩），这需要她们自己有能力，并得到他人的支持。尽管她们认识到自己对分娩过程的准备是应对分娩的决定性因素，但她们在分娩期间更优先考虑医护人员提供的护理质量，而大多数参与者认为这并不令人满意。她们还强调了在促进健康的环境中分娩的重要性，这种环境提供隐私、安静和舒适。
为了支持自然分娩，世界卫生组织的产时护理模式优先考虑连续护理、尊重劳动和分娩护理、医护人员的有效沟通以及伴侣或选择的人的情感支持。健康促进理论也可以指导临床分娩实践，以促进自然分娩和积极的分娩体验。
所有女性都努力体验自然分娩，这需要产前教育以及伴侣或家人和医护人员的情感支持。自然分娩和积极的分娩体验还需要优质的产时护理和促进健康的环境。
