Larsson Birgitta, Thies-Lagergren Li
Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.
Midwifery Research - Reproductive, Perinatal and Sexual Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Eur J Midwifery. 2021 Jun 16;5:17. doi: 10.18332/ejm/136424. eCollection 2021.
Continuity models of midwifery care are significant factors in facilitating a positive childbirth experience for birthing women. A knowledge gap exists regarding partners' experiences of continuity of midwifery care during pregnancy, birth, and after birth, although it is essential to understand the experiences of both parents in relation to continuity of care. Thus, the aim of this study was to highlight partners' expectations and experiences of having participated in a continuity of midwifery care project.
A qualitative interview study using thematic analysis was carried out. Thirty-six partners in a rural area in northern Sweden were recruited after the closure of the local labor ward. Interviews were conducted in October 2019 and in May 2020.
An overarching theme: 'A partner-midwife relationship facilitated a sense of security'; and two themes 'The concept of availability' and 'The midwife's competence and professionalism' reflect partners' expectations and experiences after participating in a continuity of midwifery care project.
Professionalism was most highly valued, but establishing a relationship with a known midwife facilitated a sense of security. When birthing women feel safe with the known midwife, the partners also feel safe. Having to travel a long-distance to a labor ward caused concern for the partners. This highlights the importance of an organization that supports families to gain access to continuity models of midwifery care and to have a possibility to give birth closer to their residence. The results of this qualitative study further strengthen the growing evidence of the positive effects of continuity models of midwifery care.
助产护理的连续性模式是促使分娩女性获得积极分娩体验的重要因素。尽管了解父母双方在护理连续性方面的经历至关重要,但关于伴侣在孕期、分娩期及产后对助产护理连续性的体验仍存在知识空白。因此,本研究的目的是突出伴侣参与助产护理连续性项目的期望和体验。
采用主题分析法进行定性访谈研究。当地产科病房关闭后,招募了瑞典北部农村地区的36名伴侣。访谈于2019年10月和2020年5月进行。
一个总体主题:“伴侣与助产士的关系促进了安全感”;以及两个主题“随时可及的概念”和“助产士的能力与专业素养”反映了伴侣参与助产护理连续性项目后的期望和体验。
专业素养最受重视,但与熟悉的助产士建立关系可促进安全感。当分娩女性对熟悉的助产士感到放心时,伴侣也会感到安心。必须长途前往产科病房让伴侣感到担忧。这凸显了一个支持家庭获得助产护理连续性模式并有可能在更靠近住所的地方分娩的组织的重要性。这项定性研究的结果进一步加强了助产护理连续性模式具有积极效果的越来越多的证据。