Santos Fernanda Soares de Resende, Souza Paloma Andrioni de, Lansky Sônia, Oliveira Bernardo Jefferson de, Matozinhos Fernanda Penido, Abreu Ana Luiza Nunes, Souza Kleyde Ventura de, Pena Érica Dumont
Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Secretaria Municipal de Saúde de Belo Horizonte, Belo Horizonte, Brasil.
Cad Saude Publica. 2019 Jul 4;35(6):e00143718. doi: 10.1590/0102-311X00143718.
This study aimed to analyze the perspective of women who used the childbirth plan on their childbirth experience, the meanings of the childbirth plan and its components, and the relationship between the childbirth plan and labor and delivery. A qualitative descriptive study was performed. Data were collected with the questionnaire Meanings of Birth - Postpartum Contacts, applied via telephone contact. The study included women from the city and greater metropolitan area of Belo Horizonte, Minas Gerais, Brazil, that participated in the Meanings of Childbirth Exhibit in May-June 2015 and March 2016, when they were pregnant, with date of previous childbirth having occurred at least a year previously and without having experienced abortion. The questions were analyzed with content analysis. Data analysis revealed the following categories related to the childbirth plan: "presence of an accompanying person", "information on procedures", "use of pain relief methods", "use of anesthesia to continue with normal delivery", "eating during labor", "presence of a doula", "no unnecessary intervention", "normal delivery", "umbilical cord cut after pulsation", "presence of postpartum breastfeeding", and "respect/treatment". There was a direct relationship between performing the childbirth plan and a positive childbirth experience. This highlights the importance of using the childbirth plan as a technique that favors a positive childbirth experience. Women's development of the plan during prenatal care and its use by the attending healthcare team contributes to favorable labor.
本研究旨在分析使用分娩计划的女性对其分娩经历的看法、分娩计划及其组成部分的意义，以及分娩计划与分娩过程之间的关系。进行了一项定性描述性研究。通过电话联系应用问卷《分娩意义 - 产后接触》收集数据。该研究纳入了来自巴西米纳斯吉拉斯州贝洛奥里藏特市及大市区的女性，她们在2015年5月至6月以及2016年3月怀孕时参加了分娩意义展览，前次分娩日期至少在一年前且未经历过流产。采用内容分析法对问题进行分析。数据分析揭示了与分娩计划相关的以下类别：“有陪伴人员在场”“程序信息”“使用止痛方法”“使用麻醉以继续正常分娩”“分娩期间进食”“有导乐在场”“无不必要干预”“正常分娩”“搏动后剪断脐带”“产后母乳喂养情况”以及“尊重/待遇”。实施分娩计划与积极的分娩体验之间存在直接关系。这凸显了将分娩计划作为一种有利于获得积极分娩体验的技术的重要性。女性在产前护理期间制定计划并由主治医护团队使用该计划有助于分娩顺利进行。
