Federation University, 61353279861 P.O. Box 665, Ballarat, Victoria 3353, Australia.
University of Tasmania, Locked Bag, 1322, Launceston, Tasmania 7250, Australia.
Sex Reprod Healthc. 2022 Sep;33:100761. doi: 10.1016/j.srhc.2022.100761. Epub 2022 Aug 4.
The study explores women's experiences and expectations of maternity care in Timor-Leste.
Qualitative, descriptive research using focused ethnography. Thirty women and seventeen health professionals from three districts in Timor-Leste were interviewed and/or participated in focus groups.
Women's expectations of care include the provision of information, advice and clinical assessment from midwives who have the capacity to provide emergency obstetric care if required. Midwives' access to technology (for example: the fetal doppler), increased the women's confidence in services. The women also identified poor experiences, including angry, busy midwives, poor communication, and lack of privacy in antenatal and birthing services. The lack of privacy inhibits women's communication with health professionals. An absence of covers and multiple staff present during labour and birth embarrass the women and their families. Many Timorese women live in poverty and have poor literacy skills. These women want knowledgeable, approachable, and clinically competent midwives who can support them through their pregnancies and childbirth. Poor communication, angry, busy midwives and lack of privacy cause discomfort and embarrassment and may discourage the women and their family's uptake of skilled birth attendant (SBA) services.
Midwives have a critical primary role in the provision of advice, information and care of Timorese women during the childbirth continuum. Continuing education of midwives with an emphasis on communication and culturally congruent care will improve women's satisfaction and childbirth outcomes. Impoverished women are particularly vulnerable when birthing in health care services. Attention to the women's privacy and her additional needs can include a focus on the birthing space and the number of staff who have access to it.
本研究探索了东帝汶女性对孕产保健的体验和期望。
采用聚焦民族志的定性描述性研究方法。在东帝汶三个地区，共访谈了 30 名妇女和 17 名卫生专业人员，或邀请他们参加焦点小组。
妇女对护理的期望包括从中助产士那里获得信息、建议和临床评估，如果需要，他们有能力提供紧急产科护理。助产士获得技术（例如胎儿多普勒）的机会增加了妇女对服务的信心。妇女还确定了一些不良体验，包括愤怒、忙碌的助产士、沟通不畅以及在产前和分娩服务中缺乏隐私。缺乏隐私会限制妇女与卫生专业人员的沟通。分娩和分娩过程中没有遮盖物和多名工作人员在场，使妇女及其家人感到尴尬。许多东帝汶妇女生活贫困，读写能力较差。这些妇女希望有知识渊博、平易近人、临床能力强的助产士，在怀孕和分娩过程中能够支持她们。沟通不畅、愤怒、忙碌的助产士和缺乏隐私会给妇女和她们的家庭带来不适和尴尬，并可能阻碍她们和她们的家庭接受熟练助产士服务。
助产士在东帝汶妇女分娩连续体期间提供咨询、信息和护理方面发挥着关键的主要作用。继续对助产士进行教育，重点是沟通和文化上一致的护理，将提高妇女的满意度和分娩结果。在医疗保健服务中分娩的贫困妇女尤其脆弱。关注妇女的隐私和她的其他需求可以包括关注分娩空间和可以进入该空间的工作人员人数。
