北爱尔兰计划家庭分娩中妇女和孕产护理提供者的体验：描述性调查。
Women and maternity care providers experiences of planned home birth in Northern Ireland: A descriptive survey.
机构信息
Southern Health and Social Care Trust, 10 Moyallen Road, Gilford, Co Down, Northern Ireland, UK; Institute of Nursing and Health Research, Ulster University, York Street, Belfast BT15 1ED, Northern Ireland, UK.
Institute of Nursing and Health Research, Ulster University, York Street, Belfast BT15 1ED, Northern Ireland, UK; School of Nursing and Midwifery, Queen's University, Belfast BT9 7BL, Northern Ireland, UK; Institute for Clinical and Applied Health Research, Hull York Medical School, University of Hull, HU6 7RX, UK.
出版信息
Women Birth. 2023 Jul;36(4):e412-e420. doi: 10.1016/j.wombi.2023.01.005. Epub 2023 Feb 3.
BACKGROUND
Where a woman gives birth impacts both her postnatal outcomes and experiences. However, for women who plan home birth in Northern Ireland, their experiences and that of their maternity care providers are rarely sought.
AIM
This study examined women's and maternity care providers' experiences and perceptions of home birth service provision in Northern Ireland.
METHODS
Online surveys were used to investigate the experiences of women (n = 62) who had experienced a home birth or had a view on planned home birth and maternity care providers (n = 77) who offered home birth services in Northern Ireland between November 2018 and November 2020. The surveys were analysed using descriptive statistics.
FINDINGS
The women were all multigravida, with 39 experiencing a planned home birth and three having an intrapartum transfer. Most of the women (61.3 %; n = 38/62) knew about home birth services through social media or friends and 91% (n = 57/62) discussed their plans for home birth with their maternity care providers antenatally. Maternity care providers were mostly supportive (64.9 %; n = 50/77) of women having a choice about place of birth. Midwives were mostly confident (52 %; n = 13/25) or very confident (28 %; n = 7) about caring for women having a planned home birth but did not always feel supported by colleagues.
DISCUSSION
Most women rated their care as excellent or very good. Midwives reported limited support from colleagues for home birth provision.
CONCLUSION
There is a need to support women in their birthplace choice and empower maternity care providers to facilitate this through a fully resourced home birth service infrastructure and collegial support.
背景
女性分娩的地点不仅会影响其产后的结果和体验，还会影响其母婴保健提供者的体验。然而，在北爱尔兰，计划在家分娩的女性及其母婴保健提供者的体验很少被关注。
目的
本研究调查了北爱尔兰的女性和母婴保健提供者对家庭分娩服务的体验和看法。
方法
2018 年 11 月至 2020 年 11 月期间，采用在线问卷调查了有家庭分娩经验（n=62）或对计划家庭分娩有看法的女性（n=62），以及在北爱尔兰提供家庭分娩服务的母婴保健提供者（n=77）。采用描述性统计方法对调查结果进行分析。
发现
这些女性均为多产妇，其中 39 名经历过计划的家庭分娩，3 名经历过产程中的转移。大多数女性（61.3%；n=38/62）通过社交媒体或朋友了解家庭分娩服务，91%（n=57/62）在产前与母婴保健提供者讨论了家庭分娩计划。母婴保健提供者大多支持女性对分娩地点的选择（64.9%；n=50/77）。助产士大多对照顾计划家庭分娩的女性有信心（52%；n=13/25）或非常有信心（28%；n=7），但并不总是感到得到同事的支持。
讨论
大多数女性对其护理的评价为优秀或非常好。助产士报告称，同事对家庭分娩的支持有限。
结论
需要通过充分资源的家庭分娩服务基础设施和同事支持，为女性提供支持，以帮助其做出分娩地点的选择，并为母婴保健提供者提供赋权。
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