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助产士在与孕妇谈论胎儿运动时使用 Mindfetalness 方法的体验。

Midwives' experiences of using the Mindfetalness method when talking with pregnant women about fetal movements.

机构信息

Sophiahemmet University, Stockholm, Sweden.

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden.

出版信息

Women Birth. 2021 Sep;34(5):e498-e504. doi: 10.1016/j.wombi.2020.10.007. Epub 2020 Oct 24.

DOI:10.1016/j.wombi.2020.10.007
PMID:33309478
Abstract

BACKGROUND

Information given to pregnant women about fetal movements is important in maternity care and decreased fetal movements is associated with fetal growth restriction and stillbirth. The fetal movement pattern is different for every fetus and women perceive different types of movements. Mindfetalness is a self-assessment method for a woman to use to become familiar with her unborn baby's fetal movement pattern.

AIM

We aimed to explore midwives' perceptions about informing pregnant women about fetal movements and their experiences of working with Mindfetalness in their daily work.

METHODS

A web-questionnaire was distributed to midwives who participated in a randomized controlled trial evaluating Mindfetalness, a method for the observation of fetal movements. In total, 67 maternity clinics in Stockholm, Sweden, were randomized to Mindfetalness or routine care. Of the 144 midwives working in maternity clinics randomized to Mindfetalness, 80% answered the questionnaire.

FINDINGS

The midwives thought that the leaflet about Mindfetalness was supportive in their work when informing women about fetal movements and the majority wanted to continue to distribute the leaflet when the trial ended. The midwives also expressed that the study increased their own knowledge about fetal movements. Women embraced the information about Mindfetalness positively and appreciated the written material. The midwives thought that talking about fetal movements in maternity care is an important but challenging task.

CONCLUSION

Mindfetalness is a useful tool to use in maternity clinics when informing pregnant women about fetal movements. The written information was appreciated by both pregnant women and midwives.

摘要

背景

向孕妇提供关于胎儿运动的信息在产科护理中很重要,胎儿运动减少与胎儿生长受限和死胎有关。每个胎儿的胎儿运动模式都不同,女性感知到的运动类型也不同。Mindfetalness 是一种自我评估方法,可帮助女性熟悉她未出生婴儿的胎儿运动模式。

目的

我们旨在探讨助产士对告知孕妇胎儿运动的看法,以及他们在日常工作中使用 Mindfetalness 的经验。

方法

向参与评估 Mindfetalness 的随机对照试验的助产士分发了网络问卷。Mindfetalness 是一种观察胎儿运动的方法。在斯德哥尔摩的 67 家妇产诊所中,共有 144 名助产士参与了随机分组,其中 80%的助产士回答了问卷。

发现

助产士认为关于 Mindfetalness 的传单在告知女性胎儿运动时对他们的工作有帮助,并且大多数人希望在试验结束后继续分发传单。助产士还表示,该研究增加了他们自己对胎儿运动的了解。女性对关于 Mindfetalness 的信息持积极态度,并欣赏书面材料。助产士认为,在产科护理中谈论胎儿运动是一项重要但具有挑战性的任务。

结论

Mindfetalness 是在妇产科诊所告知孕妇胎儿运动时使用的有用工具。书面信息受到孕妇和助产士的赞赏。

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