瑞典助产士对羊膜穿刺术的经验和看法：一项访谈研究。
Swedish midwives' experiences and views of amniotomy: An interview study.
机构信息
Department of Health and Caring Sciences, Linnaeus University, 391 82 Kalmar, Sweden.
出版信息
Midwifery. 2020 Dec;91:102840. doi: 10.1016/j.midw.2020.102840. Epub 2020 Sep 18.
OBJECTIVE
To explore midwives' experiences and views of amniotomy.
DESIGN
A qualitative inductive design was used. Data were collected using interviews and analysed with content analysis carried out with NVivo 12.
SETTING AND PARTICIPANTS
Sixteen midwives working at delivery wards at three hospitals in the south of Sweden.
FINDINGS
Three categories emerged: "Promote, protect and support the physiological process of labour", "To make the decision -to do or not to do" and "Unpredictable response". The overall theme linking the three categories was "We become our decisions", portraying how midwives carry the responsibility in the decision-making and represent themselves in their handling of amniotomy.
CONCLUSIONS
Amniotomy was experienced and viewed as both simple and complex, safe and risky, and deciding on it sometimes implied balancing contradicting perspectives. By using midwifery skills in the decision-making for an amniotomy, the midwives tried to predict the response, purposing to support physiological labour and promote health for women and babies.
目的
探讨助产士对羊膜穿刺术的经验和看法。
设计
采用定性归纳设计。使用访谈收集数据，并使用 NVivo 12 进行内容分析进行分析。
地点和参与者
在瑞典南部的三家医院的分娩病房工作的 16 名助产士。
结果
出现了三个类别：“促进、保护和支持分娩的生理过程”、“做出决定——做还是不做”和“不可预测的反应”。将这三个类别联系起来的总体主题是“我们成为自己的决定”，描绘了助产士在决策中的责任感以及在处理羊膜穿刺术时的自我表现。
结论
羊膜穿刺术被体验和视为既简单又复杂，既安全又有风险，有时决定进行羊膜穿刺术意味着要平衡相互矛盾的观点。通过在决定进行羊膜穿刺术时使用助产士的技能，助产士试图预测反应，目的是支持生理分娩并促进妇女和婴儿的健康。
Zotero 插件