Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary; School of Public Health, Kenyatta University, Kenya.
School of Public Health, Kenyatta University, Kenya.
Sex Reprod Healthc. 2021 Dec;30:100669. doi: 10.1016/j.srhc.2021.100669. Epub 2021 Sep 21.
The quality of institutional maternity services offered significantly determine the health outcomes of pregnant women and their infants.
The study aimed at understanding perceptions and experiences of new mothers diagnosed with the fear of childbirth in Kenya; regarding the institutional maternity services offered and if they contribute to the fear of childbirth (FOC).
This was a qualitative descriptive study. A total of 29 women who had given birth recently in a maternity institution, and had been screened with the fear of childbirth at 32 weeks' gestation period participated in focus group interviews. The Framework for Assessing the Quality of Care of institutional maternity services (FAQC) developed by the University of Southampton was adopted in this study. Thematic analyses were used.
It was reported that institutional maternity services contributed directly and indirectly to FOC. The direct contribution included the performance of unintended caesarian sections, severe and prolonged labour pains and negative attitude of healthcare providers. The indirect contribution was in form of challenges in the provision of care and the experience of care in the maternity institutions. In the provision of care; human and physical resources, inadequate referral systems, and inadequate management of emergencies were reported. In the experience of care; lack of cognition, respect, dignity, equity and inadequacies in emotional support were reported.
The study identified systemic challenges related to both the provision and the experience of care. Therefore, there is need to astutely analyze all critical steps identified in the FAQC, as this will greatly improve the uptake of institutional maternity services.
机构提供的产科服务质量对孕妇及其婴儿的健康结果有重大影响。
本研究旨在了解肯尼亚新确诊为分娩恐惧的母亲对机构产科服务的看法和体验；了解这些服务是否会导致分娩恐惧（FOC）。
这是一项定性描述性研究。共有 29 名最近在产科机构分娩的妇女参与了焦点小组访谈，这些妇女在妊娠 32 周时接受了分娩恐惧筛查。本研究采用了南安普顿大学开发的机构产科服务质量评估框架（FAQC）。使用了主题分析。
据报道，机构产科服务直接和间接导致了 FOC。直接贡献包括意外剖腹产、严重和长时间的分娩疼痛以及医疗保健提供者的负面态度。间接贡献表现在提供护理方面的挑战以及在产科机构的护理体验。在护理提供方面，报告了人力资源和物质资源不足、转诊系统不完善以及紧急情况管理不善。在护理体验方面，报告了缺乏认知、尊重、尊严、公平以及情感支持不足。
该研究确定了与护理提供和体验相关的系统性挑战。因此，需要敏锐地分析 FAQC 中确定的所有关键步骤，因为这将极大地提高机构产科服务的利用率。
