Thirukumar Purshaiyna, Henry Amanda, Coates Dominiek
J Perinat Educ. 2021 Oct 1;30(4):213-222. doi: 10.1891/J-PE-D-20-00034.
Actively engaging women in decision-making about their own care is critical to providing woman-centered maternity care. The aim was to understand women's mode-of-birth preferences and shared decision-making experiences during planned cesarean birth (CB). Semi-structured telephone interviews were conducted with 33 women who had planned CB at eight Australian metropolitan hospitals. Inductive thematic analysis was conducted using NVivo-12. Many women preferred a vaginal birth but were willing to have a CB if the clinician recommended. Most women looked to their clinicians for information and guidance. Although many women reported receiving enough information to make informed decisions, others felt pressured into having or not having a CB, or expected to make decisions themselves. Women wished for longer consultation times, more information, and care continuity.
让女性积极参与自身护理的决策，对于提供以女性为中心的孕产护理至关重要。目的是了解女性在计划剖宫产（CB）期间的分娩方式偏好和共同决策经历。对澳大利亚八家大都市医院计划进行剖宫产的33名女性进行了半结构化电话访谈。使用NVivo - 12进行归纳主题分析。许多女性更喜欢顺产，但如果临床医生建议，她们愿意接受剖宫产。大多数女性向临床医生寻求信息和指导。尽管许多女性表示获得了足够的信息来做出明智的决定，但其他人感到在接受或不接受剖宫产方面受到压力，或者期望自己做出决定。女性希望有更长的咨询时间、更多的信息和护理连续性。
