Hall Priscilla J, Foster Jennifer Whitman, Yount Kathryn M, Jennings Bonnie Mowinski
Lillian Carter Center for Global Health & Social Responsibility (Dr Foster) and Office of Academic Advancement (Dr Jennings), Nell Hodgson Woodruff School of Nursing (Dr Hall); and Department of Behavioral Sciences & Health Education and Department of Sociology 01, Rollins School of Public Health (Dr Yount), Emory University, Atlanta, Georgia.
J Perinat Neonatal Nurs. 2020 Jan/Mar;34(1):38-45. doi: 10.1097/JPN.0000000000000455.
Comfort is a fundamental human need to seek relief, ease, and transcendence. Comfort is relevant to women in labor who experience intense pain and mixed emotions. The subjective meaning of comfort in labor for women is not fully understood. This work was part of a phenomenological study of the experience of childbirth, in which the dynamic of keeping-it-together-falling-apart was identified as an essential quality of women's perceptions of childbirth. Comfort was a salient element of keeping-it-together-falling-apart. In this report, the concept of comfort is explored in greater depth, using qualitative descriptive analysis. Eight participants, aged 23 to 38 years, with spontaneous vaginal births, were each interviewed twice about the childbirth experience. Comfort was a holistic experience of relaxation and relief, where the needs of the body and the person were being met. Comfort and pain coexisted with each other, and relief of pain did not always provide comfort. Women had an innate knowledge of comfort, but their capacity for choice was at times restricted by caregivers in the hospital. There are aspects of labor care that do not support comfort, particularly as it relates to mobility and choice. Prioritizing comfort as well as pain relief may contribute to a more holistic, satisfying birth experience for women.
舒适是人类寻求缓解、轻松和超越的基本需求。舒适与经历强烈疼痛和复杂情绪的分娩期女性相关。分娩期女性对舒适的主观意义尚未得到充分理解。这项研究是关于分娩体验的现象学研究的一部分，在该研究中，“保持镇定 - 崩溃瓦解”的动态过程被确定为女性分娩认知的一个基本特征。舒适是“保持镇定 - 崩溃瓦解”的一个显著要素。在本报告中，运用定性描述分析对舒适的概念进行了更深入的探讨。八位年龄在23至38岁之间、自然阴道分娩的参与者，每人就分娩经历接受了两次访谈。舒适是一种放松和解脱的整体体验，在此过程中身体和个人的需求都得到了满足。舒适与疼痛相互并存，疼痛的缓解并不总是能带来舒适。女性对舒适有着与生俱来的认知，但她们的选择能力有时会受到医院护理人员的限制。分娩护理的某些方面并不支持舒适，尤其是在与活动能力和选择相关的方面。将舒适以及疼痛缓解作为优先事项，可能有助于为女性带来更全面、更令人满意的分娩体验。
