Murray-Davis Beth, Grenier Lindsay N, Mattison Cristina, Malott Anne M, Cameron Carol, Li Jenifer, Darling Elizabeth, Hutton Eileen K
Department of Obstetrics and Gynecology, McMaster Midwifery Research Center, McMaster University, Hamilton, Ontario, Canada.
Markham Stouffville Alongside Midwifery Unit, Markham, Ontario, Canada.
Birth. 2023 Dec;50(4):968-977. doi: 10.1111/birt.12744. Epub 2023 Jul 23.
Globally, midwifery-led birthing units are associated with excellent maternal and neonatal outcomes, and positive childbirth experiences. However, little is known about what aspects of midwife-led units contribute to favorable experiences and overall satisfaction. Our aim was to explore and describe midwifery service user experiences at Canada's first Alongside Midwifery Unit (AMU).
We used a qualitative, grounded theory approach using semi-structured interviews with recipients of midwifery care at the AMU.
Data were collected from twenty-eight participants between September 2018 and March 2020. Our generated theory explains how birth experiences and satisfaction were influenced by how well the AMU aligned with expectations or desired experiences related to the following four themes: (1) maintaining the midwifery model of care, (2) emphasizing control and choice, (3) facilitating interprofessional relationships, and (4) appreciating the unique AMU birthing environment.
Canada's first AMU met or exceeded service-user expectations, resulting in high levels of satisfaction with their birth experience. Maintaining core elements of the midwifery model of care, promoting high levels of autonomy, and facilitating positive interprofessional interactions are crucial elements contributing to childbirth satisfaction in the AMU environment.
在全球范围内，由助产士主导的分娩单元与出色的孕产妇和新生儿结局以及积极的分娩体验相关。然而，对于助产士主导单元的哪些方面有助于产生良好体验和总体满意度，人们知之甚少。我们的目的是探索和描述加拿大首个陪伴助产单元（AMU）中助产服务使用者的体验。
我们采用定性的扎根理论方法，对AMU接受助产护理的人员进行半结构化访谈。
在2018年9月至2020年3月期间从28名参与者那里收集了数据。我们生成的理论解释了分娩体验和满意度是如何受到AMU在以下四个主题方面与期望或期望体验的契合程度的影响：（1）维持助产护理模式，（2）强调控制和选择，（3）促进跨专业关系，以及（4）欣赏AMU独特的分娩环境。
加拿大首个AMU达到或超过了服务使用者的期望，从而使他们对分娩体验高度满意。维持助产护理模式的核心要素、促进高度的自主性以及促进积极的跨专业互动是在AMU环境中提高分娩满意度的关键因素。
