School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
School of Nursing and Midwifery, Griffith University, Logan, QLD, Australia; Transforming Maternity Care Collaborative, Australia.
Midwifery. 2022 Aug;111:103386. doi: 10.1016/j.midw.2022.103386. Epub 2022 May 27.
Whether women's preferences for maternity care are informed remains unclear, suggesting that maternal preferences may not accurately represent what women truly want. The aim of this study was to understand and critique research on women's maternity care preferences published since 2010.
Systematic mixed studies review. CINHAL, EMBASE, MEDLINE, and ProQuest Nursing and Allied Health electronic databases were searched from January 2010 to April 2022.
Thirty-five articles were included. Models of care and mode of birth were the most frequently investigated preference topics. Roughly three-quarters of included studies employed a quantitative design. Few studies assessed women's baseline knowledge regarding the aspects of maternity care investigated, and three provided information to help inform women's maternity care preferences. Over 85% of studies involved women who were either pregnant at the time of investigation or had previously given birth, and 71% employed study designs where women were required to select from pre-determined response options to describe their preferences. Two studies asked women about their preferences in the face of unlimited access and availability to specific maternity care services.
Limited provision of supporting information, the predominant inclusion of women with experience using maternity care services, and limited use of mixed methods may have hindered the collection of accurate information from women about their preferences.
Women's maternity care preferences research since 2010 may only present a limited version of what they want.
目前尚不清楚女性对孕产护理的偏好是否知情，这表明产妇偏好可能无法准确反映她们的真实需求。本研究旨在理解和评价自 2010 年以来发表的关于女性孕产护理偏好的研究。
系统混合研究综述。从 2010 年 1 月至 2022 年 4 月，检索了 CINHAL、EMBASE、MEDLINE 和 ProQuest 护理与相关健康电子数据库。
共纳入 35 篇文章。护理模式和分娩方式是最常调查的偏好主题。近四分之三的纳入研究采用了定量设计。很少有研究评估女性对孕产护理方面的基本了解，只有三篇文章提供了信息以帮助告知女性的孕产护理偏好。超过 85%的研究对象是调查时怀孕或曾生育过的女性，71%的研究设计要求女性从预先确定的回答选项中选择来描述她们的偏好。有两项研究在提供特定孕产护理服务的无限获取和可用性的情况下，询问了女性的偏好。
提供的支持信息有限，主要纳入有孕产护理服务使用经验的女性，以及对混合方法的有限使用，可能会阻碍从女性那里收集有关其偏好的准确信息。
自 2010 年以来的女性孕产护理偏好研究可能仅呈现了她们想要的一部分内容。
