Department of Nursing, Escuela Universitaria de Osuna, University of Seville, 41640 Sevilla, Spain.
Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Sevilla, Spain.
Int J Environ Res Public Health. 2021 Jun 3;18(11):6031. doi: 10.3390/ijerph18116031.
Multiple gestations have become an increasing phenomenon that has impacted public health globally, largely due to the application of assisted reproductive technologies. The objective of this work was to find out the discourse that the health professionals involved in its follow-up have in our context. For this, a qualitative methodology was chosen, with semi-structured interviews recorded in audio, prior authorisation, and transcribed verbatim. It was based on a script designed for this purpose, with the following analysis categories: the current trend of multiple gestations, impact, and follow-up. The content analysis was based on the experiences, knowledge, and perceptions of the professionals interviewed. Professionals stated that the current socioeconomic and legal context hinders a single embryo transfer policy that decreases multiple gestation rates. They emphasised the importance of the psychic impact of such gestations on the couple, on the mother in particular, as well as the economic effect on families, health, and society in general. They expressed the need to create specific protocols to assist these gestations. Midwives, in particular, demanded that the health administration recognise and support the differentiated care they perform with this type of gestation. Work on specific models is needed to adequately size the impact of multiple gestations, as well as to generate social health policies that lead to co-responsible reconciliation measures that favour women having one pregnancy at a time.
多胎妊娠已成为一个日益普遍的现象，对全球公共卫生产生了重大影响，主要归因于辅助生殖技术的应用。本研究旨在了解在我们的背景下，参与多胎妊娠随访的卫生专业人员的相关论述。为此，我们选择了一种定性方法，对事先授权的录音进行半结构化访谈，并逐字转录。该研究基于为此目的设计的脚本，分析类别包括：多胎妊娠的当前趋势、影响和随访。内容分析基于访谈专业人员的经验、知识和认知。专业人员表示，当前的社会经济和法律背景阻碍了旨在降低多胎妊娠率的单胚胎移植政策的实施。他们强调了此类妊娠对夫妇、特别是对母亲的心理影响的重要性，以及对家庭、健康和整个社会的经济影响。他们表示需要制定具体的协议来帮助这些妊娠。特别是助产士，要求卫生行政部门承认并支持他们对这种类型妊娠所提供的差异化护理。需要开展具体的研究来充分评估多胎妊娠的影响，并制定社会卫生政策，以促使采取负责任的协调措施，支持女性一次怀孕。
