Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.
Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.
Sex Reprod Healthc. 2020 Oct;25:100512. doi: 10.1016/j.srhc.2020.100512. Epub 2020 Apr 12.
Although most expectant women with severe fear of childbirth take pre-birth training sessions, the available literature does not provide substantial emphirical data on its impacts, especially in developing countries like Kenya.
The study aimed at exploring women's experience from midwife-led integrated pre-birth training and its impact on the fear of childbirth.
A qualitative interview was conducted using a thematic analysis. Thirty-three women who had experienced high and severe fear of childbirth, and had completed midwife-led integrated pre-birth training were interviewed one month after giving birth. The interviews were conducted in a maternal and child health clinic in Samburu, Kenya from December 2019 to January 2020. Collected data was analysed based on thematic analysis.
The general theme 'midwife-led integrated pre-birth training promoted constructive disposition and enhanced trust in the process of giving birth' was validated by the interviewed participants. Their contributions covered three themes: 'the significance of midwife-led pre-birth training', 'the role of efficient communication during pregnancy,' and 'adaptation to procedures for improved childbirth experience'.
In this study 85% (n = 29) of the participants revealed that midwife-led integrated pre-birth training enhanced their expectations for birth processes. They demonstrated readiness and preparedness for this process, which would lead to improved childbirth outcomes.
尽管大多数对分娩感到严重恐惧的孕妇会参加产前培训课程，但现有文献并没有提供关于其影响的实质性实证数据，特别是在肯尼亚等发展中国家。
本研究旨在探讨助产士主导的综合产前培训对产妇的体验及其对分娩恐惧的影响。
采用主题分析法进行定性访谈。我们对 33 名经历过高程度和严重分娩恐惧并完成了助产士主导的综合产前培训的妇女进行了访谈，访谈是在肯尼亚桑布鲁的一家母婴健康诊所进行的，时间为 2019 年 12 月至 2020 年 1 月。根据主题分析对收集的数据进行了分析。
通过对受访者的分析，验证了“助产士主导的综合产前培训促进了建设性的态度和对分娩过程的信任”这一总体主题。她们的贡献涵盖了三个主题：“助产士主导的产前培训的意义”、“怀孕期间有效沟通的作用”以及“适应程序以改善分娩体验”。
在这项研究中，85%（n=29）的参与者表示，助产士主导的综合产前培训增强了他们对分娩过程的期望。她们表现出对这一过程的准备和准备，这将导致分娩结果的改善。
