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女性在瑞典过期妊娠引产研究中对晚期和过期妊娠引产的体验——一项现象学研究。

Women's lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study - a phenomenological study.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Department of Health and Care Sciences, The Arctic University of Norway, Tromsö, Norway.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2056958. doi: 10.1080/17482631.2022.2056958.

Abstract

PURPOSE

There is a trend worldwide to induce pregnant women earlier. However, few studies have focused on women's experiences. The aim was to gain a deeper understanding of women's lived experiences of induction of labour in late- and post-term pregnancy.

METHODS

Phenomenology with a reflective lifeworld approach was chosen as the method. Twelve women participating in a larger study in which women were randomized to either induction of labour in week 41 or to expectant management until week 42, were interviewed one to three months after giving birth.

RESULTS

The essence is described as follows: than the intended one. The women adapted to this new journey by seeing the advantages and handing themselves over to the healthcare system, but at the same time something about giving birth could be lost. The result is further described by its four constituents: , and .

CONCLUSION

Induced labour presents a challenge to maternity personnel to support the birthing woman's normal progress, not to rush her through labour, and to involve her in the process.

摘要

目的

全球范围内存在提前诱导孕妇分娩的趋势。然而,很少有研究关注女性的体验。本研究旨在更深入地了解孕晚期和过期妊娠时女性对引产的真实体验。

方法

本研究采用现象学和反思性生活世界方法,选择了 12 名参与更大规模研究的女性进行访谈,这些女性在随机分配到 41 周引产组或期待治疗至 42 周组后 1 至 3 个月分娩。

结果

本质被描述为:比预期的更具挑战性。女性通过看到优势并将自己交给医疗保健系统来适应这一新的旅程,但同时分娩的某些方面可能会丢失。结果进一步通过四个组成部分来描述:失去了分娩的自然节奏、失去了控制、感到匆忙和感到被忽视。

结论

引产对助产士提出了挑战,需要支持产妇的正常分娩进程,不要催促她分娩,并让她参与这个过程。

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Induction of labour at or beyond 37 weeks' gestation.妊娠37周及以后引产。
Cochrane Database Syst Rev. 2020 Jul 15;7(7):CD004945. doi: 10.1002/14651858.CD004945.pub5.
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