Obstetrics and Gynecology Department, School of Medicine, University of Malaga, Malaga, Spain.
Obstetrics and Gynecology Department, Malaga Regional University Hospital, Malaga, Spain.
J Perinat Med. 2020 Dec 15;49(4):485-495. doi: 10.1515/jpm-2020-0395. Print 2021 May 26.
The main objective of the present study was to evaluate what educational needs were being neglected in current perinatal educational program in the University of Malaga.
We performed a cross-sectional study using the Students' questionnaire on attitudes towards childbirth (CAVE-st) in a sample of 378 students who were finishing their undergraduate or postgraduate academic perinatal program, including medical and nursing students.
The Cronbach's alpha reliability coefficient was 0.895. The mean score of CAVE-st in the sample was 200.34 (DT 21.0). The scores were below the median value in more than 53% of the students, especially in medical students. Female students scored systematically higher in the overall scale and its subscales, even after adjusting for study groups. On the other hand, the students with children scored significantly lower in the subscale that explored their attitudes towards unexpected results. A huge margin for improvement was recognizable in those subscales related with childbirth medicalization, respect to women decisions, and health-care prioritization.
Students' attitude towards childbirth need to be improved as a means to improve women's childbirth experience and prevent birth-related trauma. The current undergraduate and postgraduate training in perinatal care lacks a comprehensive and biopsychosocial perspective that would improve the quality of clinical practice during childbirth.
本研究的主要目的是评估在马拉加大学目前的围产期教育项目中存在哪些被忽视的教育需求。
我们采用学生分娩态度问卷（CAVE-st），对 378 名即将完成本科或研究生围产期学术课程的学生（包括医学生和护生）进行了横断面研究。
CAVE-st 的克朗巴赫 α 可靠性系数为 0.895。该样本的 CAVE-st 平均得分为 200.34（DT 为 21.0）。超过 53%的学生得分低于中位数，尤其是医学生。女生在整体量表及其子量表上的得分普遍较高，即使在调整了学习群体后也是如此。另一方面，有子女的学生在探索他们对意外结果的态度的子量表上的得分显著较低。在与分娩医学化、尊重女性决策和医疗保健优先化相关的子量表中，存在着巨大的改进空间。
需要改善学生对分娩的态度，以改善女性的分娩体验并预防与分娩相关的创伤。目前的围产期护理本科和研究生培训缺乏全面的生物心理社会观点，这将提高分娩期间临床实践的质量。
