孟加拉社区孕妇的群体产前护理体验。
Group prenatal care experiences among pregnant women in a Bangladeshi community.
机构信息
Nutrition and Clinical Services Division, International Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
School of Health and Social Development, Deakin University, Melbourne, Australia.
出版信息
PLoS One. 2019 Jun 12;14(6):e0218169. doi: 10.1371/journal.pone.0218169. eCollection 2019.
BACKGROUND
Complications during pregnancy, childbirth, and following delivery remain significant challenges that contribute to maternal morbidity and mortality, thus affecting health systems worldwide. Group prenatal care (GPC) is an integrated approach incorporating peer support and health education that provides prenatal care in a group setting. The GPC approach was piloted in a district of Bangladesh to measure the feasibility and effectiveness of GPC compared to individual care. Understanding the experiences of women of receiving this grouped care approach is crucial to understand the perspectives, perception, and acceptability of the programme among mothers, which are lack in Bangladesh. The objective of the present study was to understand the core experiences and perspectives of mothers who participated in GPC sessions during their pregnancy period.
METHODS
A qualitative research approach was used to understand the experiences of women receiving GPC. A total of 21 in-depth interviews were conducted in this study targeting pregnant mothers who attended all recommended GPC sessions. Face-to-face interviews were conducted by trained and experienced interviewers using a specific interview guideline to achieve detailed responses. Thematic analysis was conducted to analyse the data.
RESULTS
Mothers appreciated receiving pregnancy care in group setting and expressed their preferences towards GPC compared to individual care. Themes included the comprehensiveness of GPC, prescheduled appointments and reduced waiting time, social gathering, coping with common discomforts, relationship with service providers, birth preparedness, and recommendations from participating mothers. The themes conveyed overall positive experiences of the participating mothers, with suggestions for further betterment of the programme. Nevertheless, the reported experiences of women involved in the study suggests that the inclusion of a specialist in group care, post-partum care, and family planning advice will be more beneficial in the GPC model.
CONCLUSIONS
The overall experiences of the women in the present study suggest that GPC is helpful for them, and it is useful to reduce complications during pregnancy. The GPC model promises movement towards family-supported care, as explained by the participants.
背景
妊娠、分娩和产后期间的并发症仍然是重大挑战，导致产妇发病率和死亡率上升，从而影响全球卫生系统。群体产前护理 (GPC) 是一种综合方法，结合同伴支持和健康教育，以小组形式提供产前护理。在孟加拉国的一个地区试点了 GPC 方法，以衡量与个体护理相比 GPC 的可行性和效果。了解接受这种分组护理方法的妇女的经验对于理解母亲对该计划的看法、看法和接受程度至关重要，而这在孟加拉国是缺乏的。本研究的目的是了解在妊娠期间参加 GPC 课程的母亲的核心经验和观点。
方法
采用定性研究方法了解接受 GPC 的妇女的经验。本研究共进行了 21 次深度访谈，针对参加了所有推荐的 GPC 课程的孕妇。由经过培训和经验丰富的访谈者进行面对面访谈，使用特定的访谈指南以获得详细的回复。采用主题分析对数据进行分析。
结果
母亲们喜欢在小组环境中接受妊娠护理，并表示与个体护理相比，她们更喜欢 GPC。主题包括 GPC 的全面性、预定预约和减少等待时间、社交聚会、应对常见不适、与服务提供者的关系、分娩准备以及参与母亲的建议。这些主题传达了参与母亲的总体积极经验，并提出了进一步改进该计划的建议。然而，参与研究的女性所报告的经验表明，在 GPC 模式中纳入小组护理、产后护理和计划生育方面的专家将更有益。
结论
本研究中女性的总体经验表明，GPC 对她们有帮助，并有助于减少妊娠期间的并发症。正如参与者所解释的那样，GPC 模式有望朝着家庭支持的护理方向发展。
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