School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
School of Nursing and Midwifery, Trinity Centre for Maternity Care Research (TCMCR), Trinity College Dublin, Dublin, Ireland.
Health Expect. 2022 Dec;25(6):2971-2981. doi: 10.1111/hex.13605. Epub 2022 Nov 2.
Women's experiences of pregnancy, birth and motherhood extend beyond healthcare provision and the immediate postpartum. Women's social, cultural and political environments shape the positive or negative effects of their experiences through this transition. However, there is limited research concerning the factors that women identify as being protective or promotive of maternal well-being in the perinatal period and motherhood transition.
To explore women's views on the factors within healthcare, social, cultural, organizational, environmental and political domains that do or can work well in creating positive perinatal experiences.
DESIGN, SETTING AND PARTICIPANTS: A qualitative descriptive study with embedded public and participant involvement (PPI). Participants were 24 women who were maternity care service users giving birth in Ireland.
Three themes were developed. The first theme, 'tone of care', related to women's interactions with and attitudes of healthcare professionals in setting the tone for the care they experienced. The second theme, 'postpartum presence and support', concerned the professional postpartum supports and services that women found beneficial in the motherhood transition. The final theme, 'flexibility for new families' addresses social and organizational issues around parents returning to paid employment.
Women suggested multiple avenues for promoting positive perinatal experiences for women giving birth in Ireland, which may be implemented at healthcare and policy levels. Women identified that maternal health education focuses on supporting informed decision-making processes as a positive and worry-alleviating resource. Additionally, women valued being met by healthcare professionals who regard women as the decision makers in their care experience. Exchanges in which healthcare professionals validate and encourage women in their mothering role and actively involve their partners as caregivers left lasting positive impressions. Extended and professional postpartum support was a common issue, and phone lines or drop-in clinics were suggested as invaluable and affirming assets where women could access personalized support with healthcare professionals who had the knowledge and skills to genuinely approach women's concerns. Social and organizational considerations involved supporting parents to balance their responsibilities as new or growing families in the return to work.
Maternity care service users were involved in the interviews and manuscript preparation.
女性在怀孕、分娩和育儿期间的经历不仅限于医疗保健服务，也不仅限于产后即刻阶段。女性的社会、文化和政治环境会通过这一过渡，对其经历产生积极或消极的影响。然而，关于女性在围产期和母亲角色转变期间认为哪些因素对其健康有益或有害的研究还很有限。
探索女性对医疗保健、社会、文化、组织、环境和政治领域中能够创造积极围产期体验的因素的看法。
设计、设置和参与者：一项具有嵌入式公众和参与者参与（PPI）的定性描述性研究。参与者是 24 名在爱尔兰分娩的产妇服务使用者。
确定了三个主题。第一个主题是“关怀的基调”，涉及女性与医疗保健专业人员的互动以及他们对女性体验护理的态度，从而为关怀定下基调。第二个主题是“产后的存在和支持”，涉及女性在母亲角色转变过程中发现有益的专业产后支持和服务。最后一个主题是“新家庭的灵活性”，涉及父母重返工作岗位的社会和组织问题。
女性为爱尔兰分娩的女性提出了多种促进积极围产期体验的途径，这些途径可以在医疗保健和政策层面实施。女性认为，产妇健康教育侧重于支持知情决策过程，是一种积极且减轻忧虑的资源。此外，女性还重视得到医疗保健专业人员的支持，这些专业人员将女性视为护理体验的决策者。医疗保健专业人员认可并鼓励女性的母亲角色，并积极让其伴侣作为照顾者参与，这给女性留下了持久的积极印象。延长和专业的产后支持是一个常见问题，建议设立电话热线或上门诊所，作为女性可以与有知识和技能的医疗保健专业人员交流并获得个性化支持的宝贵且肯定的资源，这些专业人员可以真正解决女性的担忧。社会和组织方面的考虑因素涉及支持父母在重返工作岗位时平衡作为新家庭或成长中家庭的责任。
产妇服务使用者参与了访谈和手稿准备。
