The Midwifery Center at Tucson Medical Center for Women, 5301 E. Grant Road, Tucson, AZ 85712 USA; Frontier Nursing University, 2050 Lexington Road, Versailles, KY 40383, USA.
Frontier Nursing University, 2050 Lexington Road, Versailles, KY 40383, USA.
Midwifery. 2023 Dec;127:103841. doi: 10.1016/j.midw.2023.103841. Epub 2023 Oct 11.
To explore laboring women's thoughts, feelings, and experiences of transferring from an Alongside Midwifery Unit or free-standing birth center to labor and delivery.
A qualitative online survey was used for this research.
An Alongside Midwifery Unit in the southwestern United States.
Eight women over the age of eighteen who had transferred to labor and delivery from either the AMU or free-standing birth center.
Five themes emerging from the women's transfer experiences. It was important for the women to maintain their physiologic birth ideals. The initiation of transfer, even a discussion, altered the atmosphere in the birthing room. Women experienced a range of emotions surrounding the transfer. The stories spoke to mourning the loss of physiologic birth experience. Some women expressed guilt about the potential effects on their infants. Post-birth women had realizations about their mental and physical capabilities and limitations.
This pertinent study addressed the effect on women when a transfer needs to occur from an Alongside Midwifery Unit or free-standing Birth Center to the Labor and Delivery Unit. Regardless of the reason, a transfer affected all participants. The psychological impact can have significant consequences on mother and baby's wellbeing. Women need an opportunity to share their story. The fifth theme of learning about themselves mentally and physically is new and not identified in other studies.
Clinical recommendations are proposed to improve understanding and integrate into one's mindset, care processes, and clinical practice. Post-birth care should continue for these women until they completely process and come to a resolution of their experience of transferring to labor and delivery.
探讨从助产士主导的分娩单位或独立分娩中心转入分娩室的产妇的想法、感受和经历。
本研究采用定性在线调查。
美国西南部的助产士主导的分娩单位。
8 名年龄在 18 岁以上的妇女，她们从 AMU 或独立分娩中心转入分娩室。
从女性的转移经历中出现了 5 个主题。维持生理分娩理想对女性来说很重要。转移的开始，甚至是讨论，都会改变分娩室的氛围。女性在转移过程中经历了一系列的情绪。这些故事反映了对失去生理分娩体验的悲痛。一些女性对可能对婴儿产生的影响感到内疚。产后女性对自己的身心能力和局限性有了新的认识。
这项相关研究探讨了当需要从助产士主导的分娩单位或独立分娩中心转移到分娩和产房时，对女性的影响。无论原因是什么，转移都会影响所有参与者。心理影响可能对母婴的健康产生重大影响。女性需要有机会分享自己的故事。关于她们自身身心的第五个主题是新的，在其他研究中没有发现。
提出了临床建议，以提高理解能力，并将其融入到思维、护理过程和临床实践中。应继续为这些妇女提供产后护理，直到她们完全处理完并解决从分娩室转移的经历。
