School of Nursing and Public Health, University of KwaZulu-Natal, Durban.
Curationis. 2021 Apr 29;44(1):e1-e7. doi: 10.4102/curationis.v44i1.2164.
Giving birth is one of the most important events in a woman's life and is a highly individualistic and unique experience.
The study aimed to describe women's childbirth experiences in two state hospitals in KwaZulu-Natal.
A non-experimental, quantitative, descriptive survey of low-risk mothers was conducted in two state hospitals by using the Childbirth Experience Questionnaire (CEQ).
With a response rate of 96%, 201 questionnaires were completed and returned. The highest mean score of the four dimensions of the CEQ was for the dimension of Professional Support (3.1). The results of the individual dimension items scoring the highest positive response were: I felt that I handled the situation well (147; 74%) (Own Capacity); I felt very well cared for by my midwife (165; 82%) (Professional Support); 151 respondents (76%) scored the item My impression of the team's medical skill made me feel secure as the highest positive experience (Perceived Safety); and I felt I could have a say in the choice of pain relief (105; 52%) (Participation). The relationship between demographic variables (age, level of education, parity, antenatal clinic attendance, induction of labour, augmentation and duration of labour) and respondents' scores of the CEQ dimensions was calculated, and only the dimension of Perceived Safety and duration of labour (≥ 12 hours) were found to be significant (p = 0.026).
From the women perspectives, the study results described childbirth experience as multi-dimensional experience and subjective. Both positive and negative experiences coexisted in all dimensions of the CEQ, with the dimension of Professional Support scoring the highest positive response. To maintain a positive birth experience, the study suggests that women should be involved and equipped with knowledge on the process of childbirth.
分娩是女性生命中最重要的事件之一,是一种高度个体化和独特的体验。
本研究旨在描述夸祖鲁-纳塔尔省两家州立医院的女性分娩经历。
在两家州立医院,采用分娩经历问卷(CEQ)对低危产妇进行了非实验性、定量、描述性调查。
在 96%的应答率下,完成并返回了 201 份问卷。CEQ 四个维度的平均得分最高的是专业支持维度(3.1)。个体维度项目中得分最高的积极反应是:我觉得自己处理得很好(147;74%)(自身能力);我觉得我的助产士照顾得很好(165;82%)(专业支持);151 名受访者(76%)对团队医疗技能的印象让我感到安心(3.0)作为最高的积极体验(感知安全);我觉得我可以在选择缓解疼痛方面发表意见(105;52%)(参与)。计算了人口统计学变量(年龄、教育程度、产次、产前就诊、引产、催产和产程)与 CEQ 维度得分之间的关系,只有感知安全维度和产程(≥12 小时)具有统计学意义(p=0.026)。
从女性的角度来看,研究结果描述了分娩经历是多维度的、主观的。CEQ 的所有维度都存在积极和消极的体验,其中专业支持维度的积极反应得分最高。为了保持积极的分娩体验,研究建议女性应该参与并掌握分娩过程的知识。