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中国夫妇对父亲参与和分娩疼痛管理的看法:一项定性研究。

Perceptions of paternal involvement and labour pain management in Chinese couples during childbirth: A qualitative study.

机构信息

School of Nursing, The Hong Kong Polytechnic University, HKSAR.

出版信息

Women Birth. 2021 May;34(3):288-295. doi: 10.1016/j.wombi.2020.03.003. Epub 2020 Mar 25.

Abstract

BACKGROUND

Labour pain is an individual experience embedded in a socio-cultural context. In childbirth, the father's involvement provides important support to the mother during labour. However, few published studies have evaluated couples' experiences of paternal involvement and labour pain management in the Chinese context.

AIM

This study aimed to understand the experience of labour pain management and the father's involvement in childbirth from the perspectives of women and their partners in Hong Kong.

METHODS

An exploratory qualitative design was adopted. A purposive sample of 45 Chinese parents was recruited at the postnatal unit of a regional hospital. Data were collected through semi-structured face-to-face interviews within 1 month after birth. The data were subjected to content analysis.

FINDINGS

The findings revealed six major themes: the mothers' experience of labour pain, effectiveness of pain relief measures, mothers' perceptions of support from their partners, mothers' perceptions of support from healthcare professionals, fathers' experience of involvement in childbirth and suggested improvements to maternity services.

DISCUSSION

Chinese mothers experienced intense labour pain and used various pain relief measures. Both parents considered the involvement of fathers and support from healthcare professionals to be highly significant during childbirth.

CONCLUSIONS

This study highlights the need for a family-centred model of care during childbirth that involves both parents in the decision-making process. Chinese maternity services should implement individualised birth plans that acknowledge both parents' expectations and preferences, thus promoting a positive childbirth experience for the parents.

摘要

背景

分娩疼痛是一种嵌入社会文化背景的个体体验。在分娩过程中,父亲的参与为母亲提供了重要的支持。然而,在中文语境下,很少有发表的研究评估过夫妇在父亲参与和分娩疼痛管理方面的经验。

目的

本研究旨在从香港女性及其伴侣的角度理解分娩疼痛管理和父亲参与分娩的体验。

方法

采用探索性定性设计。在一家地区医院的产后病房,通过目的性抽样招募了 45 对中国父母。在产后 1 个月内,通过半结构式面对面访谈收集数据。对数据进行内容分析。

结果

研究结果揭示了六个主要主题:母亲的分娩疼痛体验、止痛措施的有效性、母亲对伴侣支持的看法、母亲对医护人员支持的看法、父亲参与分娩的体验以及对产科服务的改进建议。

讨论

中国母亲经历了强烈的分娩疼痛,并使用了各种止痛措施。父母双方都认为父亲的参与和医护人员的支持在分娩过程中非常重要。

结论

本研究强调了在分娩过程中需要以家庭为中心的护理模式,让父母双方都参与决策过程。中国的产科服务应实施个体化的分娩计划,承认父母双方的期望和偏好,从而为父母提供积极的分娩体验。

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