School of Nursing, Boston College, Chestnut Hill, MA, USA.
School of Public Health, Boston University, Boston, MA, USA.
Birth. 2021 Jun;48(2):221-229. doi: 10.1111/birt.12531. Epub 2021 Feb 3.
The World Health Organization's recent recommendations on intrapartum care regard women's experience of care as an essential aspect of high-quality maternity care. A better understanding of women's perspectives on their childbirth experiences in the United States is needed to place women in the center of care and optimize their experience of childbirth.
This study analyzed data from the Listening to Mothers in California survey completed by a representative sample of women who gave birth in 2016 in California hospitals. Responses to one or both open-ended questions about the best and worst part of respondent's hospital stay for childbirth were subject to a content analysis.
Findings from 2539 participants included 2336 best and 1410 worst part responses. References to the attitudes and behaviors of health care practitioners were the most commonly reported (47% best and 29.1% worst part). Nurses were the most frequently mentioned practitioner type. Additional best part categories in rank order included the quality of physical care of the mom and feelings about the care experience. Additional worst part categories in rank order included the quality of the facility and food, delays in care, infant feeding, the quality of physical care of the mom, and lack of privacy.
Women's hospital experiences during childbirth, while multidimensional in nature, are primarily shaped by their relationships with health care practitioners, the care provided, and the facility in which childbirth occurs. Women's feedback provides actionable information to promote a positive birth experience.
世界卫生组织最近关于产时护理的建议将妇女对护理的体验视为高质量产妇护理的一个重要方面。为了将妇女置于护理中心，并优化她们的分娩体验，需要更好地了解美国妇女对其分娩经历的看法。
本研究分析了 2016 年在加利福尼亚州医院分娩的妇女对加利福尼亚州母亲调查的代表性样本的回答。对受访者关于住院分娩期间医院停留的最佳和最差部分的一个或两个开放式问题的回答进行了内容分析。
来自 2539 名参与者的发现包括 2336 个最佳部分和 1410 个最差部分的回复。与医疗保健从业者的态度和行为有关的内容是最常报告的内容（最佳部分的 47%和最差部分的 29.1%）。护士是最常被提及的从业者类型。按等级顺序，其他最佳部分类别包括妈妈的身体护理质量和对护理体验的感受。按等级顺序，其他最差部分类别包括设施和食物质量、护理延迟、婴儿喂养、妈妈的身体护理质量以及缺乏隐私。
女性在分娩期间的住院体验虽然具有多维性，但主要由她们与医疗保健从业者的关系、提供的护理以及分娩发生的设施所塑造。女性的反馈提供了可操作的信息，以促进积极的分娩体验。
