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在 COVID-19 大流行期间,在尼日利亚选定的医疗保健机构中,女性的分娩经历和对分娩的满意度:混合方法。

Childbirth experiences and satisfaction with birth among women in selected Nigerian healthcare facilities during COVID-19 pandemic: a mixed method.

机构信息

Department of Midwifery, Child Health Nursing, African Centre of Excellence for Public Health and Toxicological Research, University of Port Harcourt, Port Harcourt, Nigeria.

Department of Nursing Sciences, University of Nigeria Nsukka, Enugu Campus, Enugu, Nigeria.

出版信息

Pan Afr Med J. 2024 Apr 29;47:217. doi: 10.11604/pamj.2024.47.217.38478. eCollection 2024.

Abstract

INTRODUCTION

childbirth experiences are women´s personal feelings and interpretations of birth processes, which could be difficult to describe and explain. The outbreak of Coronavirus disease (COVID-19) instilled tension and worries in all Nigerian citizens and could also affect the birth experiences and satisfaction of women. Thus, this study explored the experiences of childbirth and satisfaction with birth among women in selected Nigerian healthcare facilities during COVID-19 pandemic.

METHODS

the study adopted a concurrent triangulation mixed method design, which utilized an in-depth interview and questionnaire to obtain different but complementary data. Sample sizes of 304 and 15 women were recruited for quantitative and qualitative data, respectively. Analysis was done using descriptive statistics and thematic content analysis.

RESULTS

the majority of the participants perceived childbirth to be labor and delivery (3.66 ± 3.16); participants were mostly satisfied with reception received from staff (2.35 ± 2.29) and respecting their privacy (2.04 ± 1.52). Five (5) themes and 18 subthemes emerged from qualitative data. The themes were: understanding of childbirth, satisfaction with care, hospital experiences, unique experiences during birth, and social support.

CONCLUSION

women had more positive and less negative but unique childbirth experiences. The majority expressed satisfaction within the care given by qualified and competent health workers, despite the challenges posed by COVID-19 pandemic. The provision of physical and emotional support by intimate partners, midwives´ and family members during delivery had a significant influence on maternal satisfaction with the entire birth experience.

摘要

简介

分娩经历是女性对分娩过程的个人感受和解释,这些感受和解释可能很难描述和解释。冠状病毒病(COVID-19)的爆发使所有尼日利亚公民感到紧张和担忧,也可能影响妇女的分娩经历和满意度。因此,本研究探讨了 COVID-19 大流行期间尼日利亚选定医疗机构中妇女的分娩经历和对分娩的满意度。

方法

本研究采用并行三角混合方法设计,使用深度访谈和问卷获取不同但互补的数据。定量数据和定性数据的样本量分别为 304 名和 15 名妇女。使用描述性统计和主题内容分析进行分析。

结果

大多数参与者认为分娩是劳动和分娩(3.66 ± 3.16);参与者对工作人员的接待(2.35 ± 2.29)和尊重他们的隐私(2.04 ± 1.52)感到非常满意。定性数据中出现了五个(5)个主题和 18 个子主题。这些主题包括:对分娩的理解、对护理的满意度、医院体验、分娩期间的独特体验和社会支持。

结论

女性的分娩经历更为积极,负面体验较少,但具有独特性。大多数人对合格和有能力的卫生工作者提供的护理表示满意,尽管 COVID-19 大流行带来了挑战。在分娩期间,亲密伴侣、助产士和家庭成员提供的身体和情感支持对产妇对整个分娩经历的满意度有重大影响。

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J Patient Exp. 2021 Jan 12;8:2374373520981492. doi: 10.1177/2374373520981492. eCollection 2021.
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Coronavirus disease 2019 (COVID-19) pandemic and pregnancy.2019 冠状病毒病(COVID-19)大流行与妊娠。
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