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有紧急剖宫产经历的女性之声:一种质性研究方法

Voices of Women With Emergency Cesarean Section Experience: A Qualitative Approach.

作者信息

Orovou Eirini, Antoniou Evangelia

机构信息

Midwifery, University of Western Macedonia, Ptolemaida, GRC.

Midwifery, University of West Attica, Athens, GRC.

出版信息

Cureus. 2024 Feb 1;16(2):e53429. doi: 10.7759/cureus.53429. eCollection 2024 Feb.

DOI:10.7759/cureus.53429
PMID:38435160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909072/
Abstract

The midwifery psychoeducation, relationship with the midwives, feelings from the surgery, and delivery expectations are major factors that affect the birth experiences of mothers following an emergency cesarean section. This study aimed to give voice to mothers to express the feelings they had before, during, and after an emergency cesarean section and primarily to express whether their expectations were met after the surgery. The research was conducted on mothers who gave birth through an emergency cesarean section in a public hospital by completing specific questionnaires. This study was carried out with 15 mothers. The data was collected through a semi-structured questionnaire form, including socio-demographic characteristics. From the research, four main themes and 11 sub-themes emerged. The main themes described are "midwifery psychoeducation," "relationship with the midwives," "feelings from the C-section," and "delivery expectations." The majority of women did not attend parenting preparation classes either because they did not consider it necessary or because they were unaware of their existence. The presence of a midwife remains valuable during the perinatal period for most mothers. However, feelings vary between fear, shock, terror, disappointment, pain, and in some cases happiness. In the majority of cases, emergency cesarean section did not meet the expectations of mothers, who described it as a violent and sudden experience. The results highlight the need to strengthen midwives in order to promote psychosocial education, support during childbirth, and counseling for traumatic experiences.

摘要

助产士心理教育、与助产士的关系、手术感受以及分娩期望是影响紧急剖宫产术后母亲分娩体验的主要因素。本研究旨在让母亲们能够表达她们在紧急剖宫产术前、术中和术后的感受,主要是表达术后她们的期望是否得到满足。该研究通过让在公立医院接受紧急剖宫产分娩的母亲填写特定问卷来进行。本研究共纳入15位母亲。数据通过半结构化问卷形式收集,包括社会人口学特征。从研究中,出现了四个主要主题和11个子主题。所描述的主要主题为“助产士心理教育”、“与助产士的关系”、“剖宫产感受”和“分娩期望”。大多数女性没有参加育儿准备课程,要么是因为她们认为没有必要,要么是因为她们不知道有这些课程。对于大多数母亲来说,围产期有助产士在场仍然很有价值。然而,感受各不相同,包括恐惧、震惊、恐惧、失望、疼痛,在某些情况下还有幸福。在大多数情况下,紧急剖宫产没有达到母亲们的期望,她们将其描述为一种暴力和突然的经历。结果强调需要加强助产士队伍,以促进心理社会教育、分娩期间的支持以及对创伤经历的咨询。

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本文引用的文献

1
What do mothers think about their antenatal classes? A mixed-method study in Switzerland.母亲们如何看待他们的产前课程?瑞士的一项混合方法研究。
BMC Pregnancy Childbirth. 2023 Oct 19;23(1):741. doi: 10.1186/s12884-023-06049-8.
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The impact of childbirth education classes on delivery outcome.分娩教育课程对分娩结局的影响。
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Women's experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana.加纳西部地区某公立医院剖宫产术前和术后即刻助产护理的女性体验。
BMC Pregnancy Childbirth. 2020 Jan 2;20(1):8. doi: 10.1186/s12884-019-2698-4.
9
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