Division of Midwifery, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan.
Faculty of Nursing and Human Nutrition, Department of Nursing, Yamaguchi Prefectural University, 6-2-1, Sakurabatake, Yamaguchi, 753-0021, Japan.
BMC Pregnancy Childbirth. 2020 Dec 7;20(1):760. doi: 10.1186/s12884-020-03466-x.
Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey.
We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method.
From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth.
Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.
在过去的 25 年中，印度尼西亚的孕产妇医疗服务有了显著的改善，但仍有改进的空间。妇女对围产期护理的看法是进一步改善这些服务的重要依据。本研究使用访谈调查的方法，研究了在巴厘岛的日本妇女对围产期护理的看法。
我们于 2017 年 8 月至 10 月对居住在巴厘省巴东摄政区和登巴萨市的 14 名日本妇女进行了半结构式访谈，以报告她们在怀孕期间对所经历的围产期护理的看法。访谈指南包括选择特定（围产期护理）保健设施的原因以及对使用产前、分娩和产后护理服务的满意度等内容。使用定性内容分析方法对数据进行分析。
从访谈数据中，提取出五个主题下的 12 个类别。参与者报告在怀孕期间经历了各种担忧，例如难以获得围产期护理相关信息。从怀孕初期开始，参与者逐渐与助产士建立了信任关系，但在许多情况下，她们对分娩经历感到失望，因为她们觉得所提供的护理不是以妇女为中心的。通过自己的努力，并在家庭成员和其他日本居民的支持下，许多妇女最终能够将自己的分娩经历视为积极的经历。然而，一些妇女即使在分娩多年后仍无法克服负面印象。
参与者希望得到护士和助产士的密切关注和鼓励。我们的研究结果表明，巴厘岛的日本妇女希望在怀孕期间和产后护理期间得到以妇女为中心的围产期护理和护理/助产人员的积极支持。
