Women and Children Center, St.Olavs Hospital, Olav Kyrres gate 11, 7006 Trondheim, Norway.
Midwifery Education, Faculty of Medicine and Health Sciences, Department of Public health and Nursing, NTNU - Norwegian University of Science and Technology, Mauritz Hansens gt. 2, 7004 Trondheim, Norway.
Midwifery. 2019 Oct;77:123-129. doi: 10.1016/j.midw.2019.07.007. Epub 2019 Jul 9.
To gain a deeper understanding of women's thoughts and experiences regarding informed choices during childbirth.
DESIGN/SETTING: A qualitative approach with individual in-depth interviews was chosen for data collection. Ten women were interviewed three to four weeks after the birth of their first child. The transcribed interviews were analysed using systematic text condensation.
Two main themes emerged based on the analysis: "women's resources and coping abilities" and "women's abilities to make informed choices during birth". Women's resources and coping abilities influenced how they retrieved information and made their own choices. Their abilities to make informed choices during birth were influenced by the course of the birth process and the fact that they were patients and submitted to the hospitals' routines.
Instead of using the term "informed choice", women in this study discussed involvement, participation and being heard and seen as individuals. How receptive women are to information during birth varies, and midwives play an important role during pregnancy in informing and encouraging them. The relationship between women and midwives influences women's abilities to make informed choices during birth. Women need individual care and should be encouraged to have realistic expectations and to gain knowledge and confidence in their ability to give birth. A model of care in which women experience greater continuity will have an impact on their expectations, decision-making and experience of birth.
更深入地了解女性在分娩时有关知情选择的想法和经验。
设计/设置：选择了定性方法和个体深入访谈来收集数据。在第一个孩子出生后三到四周，对 10 名女性进行了访谈。对转录的访谈进行了系统文本浓缩分析。
基于分析，出现了两个主要主题：“女性的资源和应对能力”和“女性在分娩时做出知情选择的能力”。女性的资源和应对能力影响了她们获取信息和做出自己选择的方式。她们在分娩过程中做出知情选择的能力受到分娩过程的影响，以及她们作为患者和服从医院常规的事实的影响。
参与、参与和被视为个体，这是本研究中的女性讨论知情选择的方式，而不是使用“知情选择”一词。女性在分娩期间对信息的接受程度各不相同，助产士在怀孕期间在告知和鼓励方面发挥着重要作用。女性和助产士之间的关系影响了女性在分娩时做出知情选择的能力。女性需要个性化护理，应该鼓励她们有现实的期望，并在分娩能力方面获得知识和信心。妇女经历更大连续性的护理模式将对她们的期望、决策和分娩体验产生影响。
