Welwitchia Health Training Centre, School of Nursing, Windhoek, Namibia.
University of Namibia, School of Nursing, Oshakati, Namibia.
Midwifery. 2023 Nov;126:103835. doi: 10.1016/j.midw.2023.103835. Epub 2023 Sep 28.
To describe childbirth-choice facilitation through the experiences of women, and explore women's views on their experiences of childbirth-choice facilitation.
This qualitative exploratory study included 12 women who gave birth in selected public hospitals in different parts of Namibia during the study period. Purposive sampling was adopted to ensure that participants had sufficient knowledge of the subject under study. The research employed individual semi-structured in-depth interviews to understand women's experiences during childbirth facilitation. Data analysis followed the six steps as proposed by Creswell: preparation and organisation of data, exploration and coding of data, coding and building descriptions of the themes, presenting and reporting findings, interpreting the findings and validation of the accuracy of findings.
Women's choices on type of childbirth were assumed as they did not receive full information pertaining to different modes. The research findings were grouped into two main themes and five sub-themes, as follows: childbirth-choice experience (lack of choice, lack of shared decision-making) and information-giving (information sources, preferred information, timing of information-giving). Women expressed that they had limited knowledge and/or information pertaining to types of childbirth as midwives provided little information about how they would give birth. The women also indicated that healthcare professionals made decisions for them without any clear explanation, and that they received information when it was too late and they were unable to process it.
Women who gave birth in public hospitals reported a lack of choice regarding type of childbirth and a lack of shared decision-making. They would have preferred to receive balanced information about types of childbirth in advance in order to make informed decisions.
Health professionals need to provide information on types of childbirth to women early in antenatal care so that they understand the choices and can give informed consent regarding their chosen mode when the time comes. Previous experiences of women need to be solicited to guide the facilitation of current or subsequent pregnancies as a way of ensuring women-centred care.
描述通过女性的经验促进分娩选择，并探讨女性对分娩选择促进经验的看法。
这项定性探索性研究包括在研究期间在纳米比亚不同地区选定的公立医院分娩的 12 名女性。采用目的性抽样，以确保参与者对研究主题有足够的了解。研究采用个人半结构化深入访谈，了解女性在分娩促进过程中的经验。数据分析遵循克雷斯韦尔提出的六个步骤：数据的准备和组织、数据的探索和编码、主题的编码和描述构建、结果的呈现和报告、结果的解释以及结果准确性的验证。
由于女性没有收到关于不同分娩方式的完整信息，因此她们的分娩方式选择被假设。研究结果分为两个主要主题和五个子主题，如下所示：分娩选择经验（缺乏选择、缺乏共同决策）和信息提供（信息来源、首选信息、信息提供时间）。女性表示，她们对分娩类型的知识和/或信息有限，因为助产士很少提供有关分娩方式的信息。女性还表示，医疗保健专业人员为她们做决定，没有任何明确的解释，而且她们在太晚的时候收到信息，无法处理信息。
在公立医院分娩的女性报告说，在分娩方式的选择上缺乏选择和共同决策。她们希望提前获得关于分娩方式的平衡信息，以便做出明智的决定。
卫生专业人员需要在产前保健早期向女性提供有关分娩方式的信息，以便她们了解选择，并在需要时就选择的模式做出知情同意。需要征求女性以前的经验，以指导当前或后续怀孕的促进，以确保以妇女为中心的护理。
