School of Women's and Children's Health, UNSW Medicine, UNSW, Sydney, Australia; Centre for Midwifery and Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, Australia; Department of Women's and Children's Health, St George Hospital, Sydney, Australia.
School of Women's and Children's Health, UNSW Medicine, UNSW, Sydney, Australia; Centre for Midwifery and Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Women Birth. 2021 May;34(3):e248-e254. doi: 10.1016/j.wombi.2020.05.001. Epub 2020 Jun 2.
Approximately one third of women in high-income countries give birth by caesarean section (CS). Better understanding of women's CS experiences is vital in identifying opportunities to improve women's experience of care.
To identify opportunities for service improvement by investigating Australian women's experiences of care and recovery when undergoing a planned CS.
Qualitative telephone interview study with 33 women who had a planned CS at one of eight Australian hospitals. Semi-structured interviews were conducted to elicit women's perspectives, experiences and beliefs surrounding their planned CS. Interviews were transcribed verbatim and analysed inductively using NVivo-12.
Women's experiences of CS care were mixed. Regarding intrapartum care, many women stated their planned CS was a positive experience compared to a previous emergency CS, but was scarier and more medicalised compared to vaginal birth. CS recovery was viewed more negatively, with women feeling unprepared. They reported disliking how CS recovery restricted their role as a mother, wanting more time in hospital, and greater support and continuity of care.
Women reported largely positive intrapartum experiences of planned CS but relatively negative experiences of CS recovery. They wished for time in hospital and support from staff during recovery, and continuity of care.
By incorporating shared decision-making antenatally, clinicians can discuss women's birth expectations with them and better prepare them for their planned CS and recovery.
在高收入国家，大约有三分之一的女性通过剖腹产（CS）分娩。更好地了解女性的 CS 体验对于确定改善女性护理体验的机会至关重要。
通过调查澳大利亚女性在计划进行 CS 时的护理和康复经历，确定服务改进的机会。
对 8 家澳大利亚医院中的 33 名计划进行 CS 的女性进行了定性电话访谈研究。采用半结构化访谈，以了解女性在计划 CS 时围绕其经历、体验和信念的观点。访谈逐字转录，并使用 NVivo-12 进行归纳分析。
女性 CS 护理的体验参差不齐。关于分娩期护理，许多女性表示，与之前的紧急 CS 相比，计划 CS 的体验较为积极，但与阴道分娩相比，CS 更具威胁性和更具医学性。CS 恢复的情况则更为负面，女性感到准备不足。她们表示不喜欢 CS 恢复如何限制了她们作为母亲的角色，希望在医院有更多时间，以及更多的支持和护理的连续性。
女性报告计划 CS 的分娩期体验总体上较为积极，但 CS 恢复期的体验相对负面。她们希望在恢复期间得到医院和工作人员的时间和支持，并保持护理的连续性。
通过在产前进行共同决策，临床医生可以与女性讨论她们的分娩期望，并更好地为她们计划的 CS 和恢复做好准备。
