Obstetric Care, Tønsberg Hospital Trust, Tønsberg, Norway.
Obstetric Care, Oslo University Hospital, Ullevål, Oslo, Norway.
Nurs Health Sci. 2020 Jun;22(2):171-183. doi: 10.1111/nhs.12714. Epub 2020 Apr 15.
Labor and birth constitute a significant emotional event for a childbearing woman. The aim was to explore women's reflections on their experiences of labor and birth and how these were influenced by the midwifery care they received. A modified version of Noblit and Hare's meta-ethnographic approach was used to develop an inductive and interpretive synthesis of nine qualitative articles. Relevant databases were searched and qualitative articles appraised by means of the Critical Appraisal Skills Program. Two metaphors were identified: The guide-Please share your knowledge and The motherly midwife as an anchor. The comprehensive understanding of the images evoked by the metaphors resulted in an overall metaphoric representation of the women's experiences: The midwife as a birth pilot, that is, a positive labor and birth experience is dependent on the relationship with the midwife. This finding confirms previous knowledge that a trusting relationship results in confidence, while feeling secure leads to a positive birth experience. The metaphors facilitate understanding of the significance of the midwife for women's labor and birth experiences. Knowledge of labor and birth experiences helps to broaden understanding of the necessity of midwives being willing to engage, act, be aware of errors that may affect women's birth experience, and employ tools to predict unexpected adverse events.
分娩是产妇经历的重大情感事件。本研究旨在探讨女性对分娩经历的反思，以及助产护理如何影响其分娩体验。采用 Noblit 和 Hare 的元分析方法的改良版，对 9 篇定性文章进行归纳和解释性综合。检索相关数据库，并使用批判性评估技能计划对定性文章进行评估。确定了两个隐喻：指南——请分享你的知识和母亲般的助产士作为锚。对隐喻所唤起的形象的全面理解导致了女性体验的整体隐喻表现：助产士作为分娩飞行员，即积极的分娩体验取决于与助产士的关系。这一发现证实了之前的知识，即信任关系会产生信心，而安全感会带来积极的分娩体验。隐喻有助于理解助产士对女性分娩体验的重要性。了解分娩体验有助于扩大对助产士愿意参与、行动、意识到可能影响女性分娩体验的错误以及使用工具预测意外不良事件的必要性的理解。
