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巴西亚马孙地区女性的社会支持网络,以补充计划家庭分娩的决策权:一项定性研究。

Social support network of Brazilian Amazonian women to subsidise the decision-making power of planned home birth: a qualitative study.

机构信息

Federal University of Pará, Belem, Pará, Brazil.

Aurora de Afonso Costa Nursing School, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.

出版信息

BMJ Open. 2024 Nov 21;14(11):e080662. doi: 10.1136/bmjopen-2023-080662.

Abstract

OBJECTIVE

To understand the social support network of Amazonian women when making decisions about planned home births.

METHOD

Descriptive, exploratory, qualitative research.

SETTING

Planned home birth care, accompanied by obstetric nurses, in the state of Pará, Brazil.

PARTICIPANTS

20 women who had a planned home birth in the metropolitan region of the state of Pará, Brazil. These women were surveyed by a team of obstetric nurses working in home birth care. In-depth semistructured interviews were conducted at the women's homes between August 2021 and February 2022, with the audio captured on an mp3 device. The data were analysed at the same time as the data collection. Each interview was transcribed and content analysis was used to process the data.

RESULTS

The social support network shares experiences and knowledge between women in order to guarantee knowledge and not perpetuate traumatic episodes during childbirth. This network is a link to women's power of choice in relation to their own birth, which culminates in successful experiences in the birth process.

FINAL CONSIDERATIONS

Understanding the social support network for women's decision-making during planned home births is central to guaranteeing rights and expectations regarding the place of birth. Social support networks need to be expanded by non-governmental groups and by the Unified Health System itself, especially in primary healthcare.

DESCRIPTORS

Women; home childbirth; social support; access to information and nursing.

摘要

目的

了解亚马逊地区女性在决定计划家中分娩时的社会支持网络。

方法

描述性、探索性、定性研究。

地点

巴西帕拉州计划中的家庭分娩护理,由产科护士陪同。

参与者

20 名在巴西帕拉州大都市区计划在家中分娩的妇女。这些妇女由在家庭分娩护理中工作的产科护士团队进行调查。在 2021 年 8 月至 2022 年 2 月期间,在妇女家中进行了深入的半结构化访谈,音频录制在 mp3 设备上。数据同时进行分析。每次访谈都进行了转录,并使用内容分析来处理数据。

结果

社会支持网络在女性之间分享经验和知识,以确保知识,并在分娩期间不延续创伤性事件。该网络是女性在自己的分娩中选择权力的联系,最终导致分娩过程中成功的经验。

最终考虑

了解计划家中分娩时女性决策的社会支持网络对于保障与分娩地点相关的权利和期望至关重要。社会支持网络需要由非政府组织和统一卫生系统本身扩大,特别是在初级保健中。

描述符

妇女;家庭分娩;社会支持;信息获取和护理。

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