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挪威医院助产士视角下的分娩恐惧:一项定性研究。

Fear of childbirth from the perspective of midwives working in hospitals in Norway: A qualitative study.

作者信息

Tobiasson Marthe, Lyberg Anne

机构信息

Centre for Women̕ s, Family and Child Health, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences University of South-Eastern Norway Kongsberg Norway.

出版信息

Nurs Open. 2019 May 29;6(3):1180-1188. doi: 10.1002/nop2.304. eCollection 2019 Jul.

DOI:10.1002/nop2.304
PMID:31367444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6650651/
Abstract

AIM

To illuminate the perceptions of hospital-based midwives who support women suffering from moderate to severe fear of childbirth during an expected vaginal birth.

DESIGN

A qualitative descriptive and explorative study.

METHODS

Focus group interviews were conducted with 18 midwives representing four different hospitals in Norway.

RESULTS

Encountering fear of childbirth evoked the desire to protect and help, although the ability to provide optimal support was dependent on several circumstances, several of which were beyond the midwives̕ control. The main theme "Midwives finding their own strength when encountering the vulnerability of women with fear of childbirth" consisted of two themes: "Being present" and "Being alone." The midwives described being present as a prerequisite for continuity of care and affirmation. The emphasis on continuity of care could give rise to a sense of loneliness and guilt during and after demanding situations in the birthing room.

摘要

目的

阐明在预期顺产过程中,为患有中度至重度分娩恐惧的女性提供支持的医院助产士的看法。

设计

一项定性描述性和探索性研究。

方法

对代表挪威四家不同医院的18名助产士进行了焦点小组访谈。

结果

遇到分娩恐惧引发了保护和帮助的愿望,尽管提供最佳支持的能力取决于多种情况,其中一些情况超出了助产士的控制范围。主要主题“助产士在面对患有分娩恐惧的女性的脆弱性时找到自己的力量”由两个主题组成:“在场”和“孤独”。助产士将在场描述为护理连续性和肯定的先决条件。对护理连续性的强调可能会在产房要求苛刻的情况期间及之后产生孤独感和内疚感。

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Nurs Open. 2018 Jul 16;6(1):18-29. doi: 10.1002/nop2.186. eCollection 2019 Jan.
2
Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide.超越过少、过晚、过多、过快:迈向全球循证且尊重的母婴照护之路。
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Counseling for childbirth fear - a national survey.分娩恐惧咨询 - 全国性调查。
Sex Reprod Healthc. 2016 Jun;8:82-7. doi: 10.1016/j.srhc.2016.02.008. Epub 2016 Mar 2.
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Effects of continuous midwifery labour support for women with severe fear of childbirth.持续的助产士分娩支持对严重害怕分娩的女性的影响。
BMC Pregnancy Childbirth. 2015 May 15;15:115. doi: 10.1186/s12884-015-0548-6.
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The effects of counseling on fear of childbirth.咨询对分娩恐惧的影响。
Acta Obstet Gynecol Scand. 2015 Jun;94(6):629-36. doi: 10.1111/aogs.12634. Epub 2015 Mar 30.
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Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries.六个欧洲国家医疗保健中遭受虐待的发生率及相关产科特征
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Prevalence and associated factors of fear of childbirth in six European countries.六个欧洲国家中分娩恐惧的患病率及相关因素
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