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期望与实际分娩途径:护理学生对自己分娩类型的看法。

Desired versus actual delivery route: nursing students' perception about their type of delivery.

机构信息

Universidade Regional do Cariri, Departamento de Enfermagem, Crato, CE, Brazil.

Universidade Regional do Cariri, Programa de Pós-graduação em Enfermagem, Crato, CE, Brazil.

出版信息

Rev Esc Enferm USP. 2022 Dec 5;56:e20220217. doi: 10.1590/1980-220X-REEUSP-2022-0217en. eCollection 2022.

DOI:10.1590/1980-220X-REEUSP-2022-0217en
PMID:36477249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081635/
Abstract

OBJECTIVE

To identify the perception of nursing student mothers regarding the desired type of delivery in relation to the one performed.

METHOD

Qualitative research, supported by the assumptions of Humanization of Obstetric Care, developed remotely with 16 nursing students who experienced the parturition process. The data were collected through an online focus group using the Google Meet program, guided by a semi-structured script. The speeches were analyzed using the Thematic Content Analysis technique.

RESULTS

An unsatisfactory discrepancy was identified between the mother's preference and the realization, predominantly the desire for the vaginal way due to academic knowledge about the benefits. However, the cesarean section was predominant as a procedure performed due to possible complications, fears, financial situation of the parturient woman and control of choice by the health professional.

CONCLUSION

Perception indicates marked disagreements, with the presence of complications, fear, lack of autonomy and predominance of a hegemonic care model, reinforcing the need for expansion and application of the Humanization of Obstetric Care, as a primary condition for proper monitoring.

摘要

目的

了解护理专业学生母亲对期望分娩方式与实际分娩方式的感知。

方法

这是一项定性研究,基于产科人性化照护的假设,通过远程方式对 16 名经历分娩过程的护理专业学生进行研究。数据通过 Google Meet 程序的在线焦点小组收集,采用半结构化脚本进行引导。使用主题内容分析技术对演讲内容进行分析。

结果

发现母亲的偏好与实际情况之间存在明显的差异,主要是由于对阴道分娩益处的学术认识,因此希望采用这种方式分娩。然而,剖宫产术是主要的分娩方式,因为可能存在并发症、恐惧、产妇的经济状况以及医护人员对选择的控制等因素。

结论

这种感知表明存在明显的分歧,其中包括并发症、恐惧、缺乏自主权和主流的护理模式,这强调了需要扩大和应用产科人性化照护,作为适当监测的首要条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/10081635/fcb28881d2d1/1980-220X-REEUSP-56-e20220217-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/10081635/fcb28881d2d1/1980-220X-REEUSP-56-e20220217-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/10081635/fcb28881d2d1/1980-220X-REEUSP-56-e20220217-gf01.jpg

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Cien Saude Colet. 2022 Apr;27(4):1581-1594. doi: 10.1590/1413-81232022274.07462021. Epub 2021 May 16.
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Women's perception of labor and birth care: obstacles to humanization.女性对分娩护理的认知:阻碍人性化的因素。
Rev Bras Enferm. 2022 Mar 7;75Suppl 2(Suppl 2):e20210215. doi: 10.1590/0034-7167-2021-0215. eCollection 2022.
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Birth plan presentation to hospitals and its relation to obstetric outcomes and selected pain relief methods during childbirth.
向医院提交分娩计划及其与产科结局的关系,以及分娩期间选择的止痛方法。
BMC Pregnancy Childbirth. 2021 Apr 1;21(1):274. doi: 10.1186/s12884-021-03739-z.
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Cesarean sections in Brazil's teaching hospitals: an analysis using Robson Classification.巴西教学医院的剖宫产手术:一项使用罗布森分类法的分析
Rev Panam Salud Publica. 2021 Feb 26;45:e16. doi: 10.26633/RPSP.2021.16. eCollection 2021.
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Hospital obstetric practices and their repercussions on maternal welfare.医院产科实践及其对产妇福利的影响。
Rev Esc Enferm USP. 2020 Sep 7;54:e03606. doi: 10.1590/S1980-220X2018039003606. eCollection 2020.
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Evaluation of the birth plan implementation: a parallel convergent mixed study.分娩计划实施情况评估:一项平行收敛性混合研究。
Reprod Health. 2020 Sep 7;17(1):138. doi: 10.1186/s12978-020-00989-6.
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Fear of childbirth (FOC): pregnant women's perceptions towards the impending hospital birth and coping resources - a reconstructive study.分娩恐惧(FOC):孕妇对即将到来的医院分娩的看法和应对资源——一项重建性研究。
J Psychosom Obstet Gynaecol. 2020 Sep;41(3):231-239. doi: 10.1080/0167482X.2019.1657822. Epub 2019 Sep 5.
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[The humanization of childbirth in Brazil as seen in the trajectories of its researchers].[从巴西研究人员的轨迹看巴西分娩的人性化]
Hist Cienc Saude Manguinhos. 2020 Jun;27(2):485-502. doi: 10.1590/s0104-59702020000200010. Epub 2020 Jul 13.
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[Targeted interventions to reduce the rates of cesarean section births in Brazil].[巴西降低剖宫产率的针对性干预措施]
Rev Bras Epidemiol. 2019 Dec 5;22:e190066. doi: 10.1590/1980-549720190066. eCollection 2019.