School of Medicine, Western Sydney University, Australia.
South Western Sydney Local Health District, Australia.
Women Birth. 2022 Sep;35(5):e477-e486. doi: 10.1016/j.wombi.2021.12.002. Epub 2021 Dec 31.
Experiencing complications in pregnancy is stressful for women and can impact on fetal and maternal outcomes. Supportive encounters with health professionals can reduce the worry women experience. Further research is needed to understand women's perspectives on communicating with their healthcare providers about their concerns.
This study explored women's experiences of receiving information about pregnancy complications from healthcare providers and their interactions with multiple professionals and services during pregnancy.
This was a qualitative interpretive study. Semi-structured interviews were conducted with 20 women experiencing pregnancy complications recruited from antenatal services at two hospitals in Sydney. Inductive thematic analysis was used to analyse the data.
Women had a range of reactions to their diagnoses, including concern for their baby, for themselves and for their labour. Most women reported that communication with healthcare providers was distressing, they were not listened to and staff used insensitive, abrupt language. Women were also distressed by delays in education, receiving contradictory information and having to repeatedly share their stories with different health professionals. In some cases, this damaged the therapeutic relationship and reduced trust towards healthcare providers. Midwives were generally preferred over doctors because they had a more woman-centred approach.
To improve women's experiences of care for pregnancy complications, it is critical to improve the communication skills of maternity service providers. Women's need for information, resources and support can best be provided by continuity of care with a named health professional, for example, a midwife working within an integrated multidisciplinary antenatal service model.
妊娠并发症会给女性带来压力，影响胎儿和产妇的结局。与卫生专业人员的支持性接触可以减轻女性的担忧。需要进一步研究以了解女性在与医疗保健提供者就其担忧进行沟通方面的观点。
本研究探讨了女性在妊娠并发症方面从医疗保健提供者那里获得信息的经验，以及她们在妊娠期间与多个专业人员和服务的互动。
这是一项定性解释性研究。从悉尼两家医院的产前服务中招募了 20 名经历妊娠并发症的女性，对其进行了半结构化访谈。使用归纳主题分析对数据进行分析。
女性对其诊断有多种反应，包括对婴儿、自身和分娩的担忧。大多数女性报告说与医疗保健提供者的沟通令人痛苦，她们没有被倾听，并且工作人员使用不敏感、生硬的语言。女性还对教育延迟、收到矛盾信息以及不得不反复向不同的卫生专业人员讲述自己的故事感到苦恼。在某些情况下，这会破坏治疗关系并降低对医疗保健提供者的信任。与医生相比，女性通常更喜欢助产士，因为她们更注重女性。
为了改善女性对妊娠并发症护理的体验，提高产科服务提供者的沟通技巧至关重要。女性对信息、资源和支持的需求最好由一名指定的卫生专业人员提供，例如在综合多学科产前服务模式下工作的助产士。
