Planned Parenthood Associate of Utah, Salt Lake City, UT, USA.
J Transcult Nurs. 2024 Sep;35(5):381-387. doi: 10.1177/10436596241253864. Epub 2024 May 27.
Comadronas attend most births in rural and urban Guatemala where the maternal mortality rate (MMR) is highest in Latin America. Information has been published regarding rural comadronas' response to obstetrical emergencies. Understanding urban comadronas' response to obstetrical emergencies is essential to addressing Guatemala's MMR.
A total of 17 urban comadronas participated in one, 34-min focus group to share their knowledge, practices, and attitudes regarding obstetrical emergencies. We used the long table to analyze the content to develop a matrix of themes.
Five themes emerged. Urban comadronas receive consistent training, have hospital transportation, and feel confident in their knowledge, but they lack equipment and feel hospital providers disrespect them. Still, the joy of attending births outweighs the challenges they face.
Urban comadronas described a different experience of responding to obstetrical emergencies than rural comadronas. Distinct approaches are needed to provide culturally congruent support for urban and rural comadronas when responding to obstetrical emergencies.
在危地马拉的农村和城市地区，大多数分娩都是由 Comadronas（传统接生婆）负责的，而危地马拉的孕产妇死亡率（MMR）在拉丁美洲是最高的。已经有关于农村 Comadronas 应对产科急症的信息发布。了解城市 Comadronas 对产科急症的反应对于解决危地马拉的 MMR 问题至关重要。
共有 17 名城市 Comadronas 参加了一次 34 分钟的焦点小组讨论，分享她们在产科急症方面的知识、实践和态度。我们使用长桌分析内容，以发展主题矩阵。
出现了五个主题。城市 Comadronas 接受持续的培训，有医院交通，并对自己的知识有信心，但她们缺乏设备，感到医院提供者不尊重她们。尽管如此，分娩的喜悦还是超过了她们所面临的挑战。
城市 Comadronas 描述了与农村 Comadronas 不同的应对产科急症的经验。在应对产科急症时，需要采取不同的方法，为城市和农村的 Comadronas 提供文化上一致的支持。
