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医疗保健提供者的尊重孕产妇护理培训对正常阴道分娩母亲分娩体验满意度的影响:一项前瞻性干预研究。

Impact of respectful maternal care training of health care providers on satisfaction with birth experience in mothers undergoing normal vaginal birth: A prospective interventional study.

作者信息

Singh Meenakshi, Baruhee Shailley, Saxena Pikee

机构信息

Department of Obstetrics and Gynecology, Lady Harding Medical College, New Delhi, India.

出版信息

Int J Gynaecol Obstet. 2025 Feb;168(2):673-679. doi: 10.1002/ijgo.15875. Epub 2024 Aug 22.

DOI:10.1002/ijgo.15875
PMID:39175269
Abstract

OBJECTIVE

To study the impact of respectful maternity care (RMC) training of health care providers on RMC and birth satisfaction in mothers undergoing normal vaginal birth.

METHODS

A prospective interventional study was performed comparing RMC and birth satisfaction in women undergoing vaginal births before and after RMC training of health care providers from November 2021 to March 2023 in a tertiary care center in India. Person-centered maternity care (PCMC) and birth satisfaction scale-revised (BSSR) scales were used to study women's RMC and birth satisfaction, respectively.

RESULTS

A total of 100 women undergoing normal vaginal birth were enrolled in pre- and post-intervention phases. The intervention was done through formal and onsite training of health care providers in RMC. The mean total PCMC scale score in the post-training group demonstrated a remarkable increase to 51.95 ± 6.50, significantly higher than the pre-training mean of 32.82 ± 8.47 (P < 0.0001). The mean ± SD of the BSSR scale total score in the post-training group increased significantly to 27.17 ± 3.67, surpassing the pre-training mean of 21.19 ± 5.48 (P < 0.0001).

CONCLUSION

The study showed significant improvement in RMC and birth satisfaction score in the post-training group thereby emphasizing the importance of RMC training of health care providers in the facility.

摘要

目的

研究医疗保健提供者接受尊重孕产妇护理(RMC)培训对正常阴道分娩母亲的RMC及分娩满意度的影响。

方法

于2021年11月至2023年3月在印度一家三级护理中心开展一项前瞻性干预研究,比较医疗保健提供者接受RMC培训前后阴道分娩女性的RMC及分娩满意度。分别采用以人本位的孕产妇护理(PCMC)量表和修订后的分娩满意度量表(BSSR)研究女性的RMC及分娩满意度。

结果

共有100名接受正常阴道分娩的女性纳入干预前和干预后阶段。干预通过对医疗保健提供者进行RMC的正规和现场培训来完成。培训后组的PCMC量表总平均分显著提高至51.95±6.50,明显高于培训前的平均分32.82±8.47(P<0.0001)。培训后组BSSR量表总分的平均值±标准差显著提高至27.17±3.67,超过培训前的平均分21.19±5.48(P<0.0001)。

结论

该研究表明培训后组的RMC及分娩满意度得分有显著改善,从而强调了在该机构对医疗保健提供者进行RMC培训的重要性。

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