Uppsala University, Department of Women's and Children's Health, Akademiska University Hospital, SE-751 85 Uppsala, Sweden.
Uppsala University, Department of Women's and Children's Health, Akademiska University Hospital, SE-751 85 Uppsala, Sweden; Sophiahemmet University, Department of Health Promoting Science, SE-114 86 Stockholm, Sweden.
Sex Reprod Healthc. 2022 Sep;33:100759. doi: 10.1016/j.srhc.2022.100759. Epub 2022 Jul 30.
There is evidence that continuity models of midwifery care benefit women and babies in terms of less birth interventions and higher maternal satisfaction. Studies about continuity models in a Swedish context are lacking.
The aim of this study was to describe how women experience continuity of midwifery care in a Swedish rural area, and thereby provide a deeper understanding of what this care entails for women.
A qualitative interview study using thematic analysis was carried out. Telephone interviews were conducted with 33 women who participated in a continuity of midwifery care project in a rural area of Sweden.
The overarching theme 'a longing for a sense of security', pervaded the three main themes: 'The importance of professional midwifery care', 'Continuity of midwifery - fulfilled expectations or full of disappointments' and 'New prerequisites - acceptable to some, but not a substitute for everyone', which explains different aspects affecting the feeling of security. The endeavour to feel secure during pregnancy, birth and postpartum was a continually recurring subject that cannot be overstated.
Continuity of midwifery care strengthened women's feelings of security during pregnancy, birth and postpartum. The deepened relationship developed over time was a central part of the positive aspects of the experience of continuity in midwifery care. Expectations and prerequisite circumstances are important to consider when developing and introducing new care models. Service providers and decision makers should pay attention to and prioritise this relational aspect when planning care for women during the childbearing period.
有证据表明，助产士护理的连续性模式有利于妇女和婴儿，减少分娩干预，提高产妇满意度。关于瑞典背景下连续性模式的研究还很缺乏。
本研究旨在描述瑞典农村地区的妇女如何体验助产士护理的连续性，从而更深入地了解这种护理对妇女意味着什么。
采用主题分析的定性访谈研究。对 33 名参与瑞典农村地区助产士连续性护理项目的妇女进行了电话访谈。
“对安全感的渴望”是贯穿三个主题的核心主题：“专业助产护理的重要性”、“助产士的连续性——满足期望还是充满失望”和“新的先决条件——对一些人来说是可以接受的，但不是每个人的替代品”，这解释了影响安全感的不同方面。在怀孕、分娩和产后期间努力感到安全是一个反复出现的主题，不容忽视。
助产士护理的连续性增强了妇女在怀孕、分娩和产后期间的安全感。随着时间的推移发展起来的深厚关系是体验助产士护理连续性的积极方面的核心部分。期望和先决条件是在开发和引入新的护理模式时需要考虑的重要因素。服务提供者和决策者在规划生育期妇女的护理时应注意并优先考虑这一关系方面。
