Université Claude Bernard Lyon 1, Lyon, France.
Research Centre, University of Montreal Hospital Centre, Montréal, QC, Canada.
BMC Pregnancy Childbirth. 2024 Mar 7;24(1):177. doi: 10.1186/s12884-024-06362-w.
Working with women to best meet their needs has always been central to midwifery in Quebec, Canada. The creation of birthing centres at the end of the 1990s consolidated this desire to prioritize women's involvement in perinatal care and was intended to encourage the establishment of a care and services partnership between care providers and users. The aim of this pilot study is to evaluate the perceptions of clients, midwives and birth assistants of the way in which women are involved in partnership working in Quebec birthing centres.
A single qualitative case and pilot study was conducted with midwives (n = 5), birth assistants (n = 4), a manager (n = 1), clients (n = 5) and members of the users' committee (n = 2) at a birthing centre in Quebec, Canada in July and August 2023. The partnership was evaluated using the dimensions of a validated CADICEE questionnaire.
The women and professionals stressed that the relationship was established in a climate of trust. The caregivers also attached importance to autonomy, information sharing and decision-making, adaptation to context, empathy and recognition of the couple's expertise. The women confirmed that they establish a relationship of trust with the professionals when the latter show empathy and that they adapt the follow-up to their knowledge and life context. Key factors in establishing this kind of care relationship are the time given, a de-medicalized environment, the comprehensive care received, and professionals who are well-informed about the partnership. In addition, the birthing centre has a users' committee that can put forward ideas but has no decision-making powers.
Both the women and the professionals at the birthing centre appear to be working in partnership. However, at the organizational level, the women are not involved in decision-making. A study of all birthing centres in Quebec would provide a more comprehensive picture of the situation.
在加拿大魁北克，以满足女性需求为中心一直是助产士工作的核心。20 世纪 90 年代末，生育中心的创建巩固了将女性纳入围产期护理的愿望，并旨在鼓励护理提供者和使用者之间建立护理和服务伙伴关系。本试点研究的目的是评估客户、助产士和分娩助手对魁北克生育中心中女性参与伙伴关系工作的方式的看法。
2023 年 7 月至 8 月，在加拿大魁北克的一家生育中心对 5 名助产士、4 名分娩助手、1 名经理、5 名客户和 2 名用户委员会成员进行了单案例定性和试点研究。使用经过验证的 CADICEE 问卷的维度评估伙伴关系。
女性和专业人员强调在信任的氛围中建立关系。护理人员还重视自主权、信息共享和决策、适应环境、同理心和对夫妇专业知识的认可。女性证实，当护理人员表现出同理心时，她们会与专业人员建立信任关系，并且会根据自己的知识和生活背景调整随访。建立这种护理关系的关键因素是给予的时间、非医疗化的环境、接受的全面护理以及对伙伴关系有充分了解的专业人员。此外，生育中心有一个用户委员会，可以提出想法，但没有决策权。
生育中心的女性和专业人员似乎都在合作。然而，在组织层面上，女性不参与决策。对魁北克所有生育中心的研究将提供更全面的情况图景。
