Charles Sturt University, Panorama Avenue Bathurst, School of Nursing, Paramedicine and Healthcare Sciences, Panorama Avenue, Bathurst, NSW 2795, Australia.
Charles Sturt University, Panorama Avenue Bathurst, School of Nursing, Paramedicine and Healthcare Sciences, Panorama Avenue, Bathurst, NSW 2795, Australia.
Australas Emerg Care. 2024 Sep;27(3):218-226. doi: 10.1016/j.auec.2024.04.002. Epub 2024 May 11.
Internationally, over one-third of women experience birth trauma, leading to adverse mental health outcomes. Poor communication with healthcare professionals is a primary contributing factor. Paramedics attend various clinical presentations, including childbirth, yet their potential impact on women's birth experiences has been largely overlooked.
A systematic literature search was conducted following the Joanna Briggs Institute methodological framework. The search identified 1015 potentially suitable articles, and 5 articles met the inclusion criteria. Data was analysed using reflexive thematic analysis from a feminist standpoint.
Three themes were generated: 1. First Impressions Count: paramedic demeanour impacted the woman's sense of safety and perception of paramedic clinical competence. 2. Choice as a Pathway to Control: when paramedics involved women in decision-making, it led to empowerment, while non-involvement led to women becoming passive participants. 3. Exposed, Violated and Disempowered: some paramedics disrespected and abused women, treating them solely as objects for the purpose of producing a baby.
This review highlights the influence of paramedic communication on women's birth experiences. While some paramedics communicated respectfully, other paramedics were the perpetrators of Obstetric Violence. Future research should inform paramedic education and improve outcomes for birthing women.
在国际上，超过三分之一的女性经历过分娩创伤，导致心理健康不良。与医疗保健专业人员沟通不畅是一个主要的促成因素。护理人员会处理各种临床情况，包括分娩，但他们对女性分娩体验的潜在影响在很大程度上被忽视了。
按照乔安娜·布里格斯研究所的方法框架进行了系统的文献检索。该搜索确定了 1015 篇可能合适的文章，其中 5 篇文章符合纳入标准。使用从女性主义立场出发的反思性主题分析对数据进行了分析。
生成了三个主题：1. 第一印象很重要：护理人员的态度影响了女性的安全感和对护理人员临床能力的感知。2. 选择是控制的途径：当护理人员让女性参与决策时，会导致赋权，而不参与则会导致女性成为被动参与者。3. 暴露、侵犯和剥夺权力：一些护理人员不尊重和虐待女性，仅仅将她们视为生孩子的对象。
本综述强调了护理人员沟通对女性分娩体验的影响。虽然有些护理人员进行了尊重的沟通，但其他护理人员是产科暴力的实施者。未来的研究应该为护理人员的教育提供信息，并改善产妇的结局。
