Kamrani Atefeh, Iravani Mina, Abedi Parvin, Najafian Mahin, Khosravi Shahla, Alianmoghaddam Narges, Cheraghian Bahman
Department of Midwifery, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reproductive Health Promotion Research Center, Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Educ Health Promot. 2024 Sep 28;13:332. doi: 10.4103/jehp.jehp_896_23. eCollection 2024.
The Safe Childbirth Checklist (SCC) was designed in an effort to support health workers to perform essential tasks and improve the quality of care (QoC) for mothers and babies during childbirth. Given the fact that human experiences in any society can be influenced by cultural, economic, and social differences. Therefore, the present qualitative study aimed to investigate mothers' perceptions and experiences of natural childbirth and QoC in childbirth management based on SCC.
The current study is a qualitative study that was conducted in 2022-2023 by targeted sampling on women who gave birth based on SCC in two hospitals in Ahvaz. Eighteen women participated in the interview sessions 1 month after giving birth. The conventional content analysis method was used to analyze the data.
Overall, 870 codes were extracted from the interviews. The interviewed mothers' satisfaction with the use of SCC was organized into seven main themes, namely "Satisfaction with the comprehensive support of the companion," "Satisfaction with the comprehensive support of the midwife," "Satisfaction with the emotional support of the husband," "Satisfaction with the mutual interaction between the midwife and the parturient mother," " Preparation for the challenges of different stages of childbirth and postpartum through training," " Satisfaction with the pain management strategies adopted by the companion," "Satisfaction with skin-to-skin contact and early breastfeeding" and " Satisfaction with the strengthened relationship between the couples and acceptance of the father's role after the husband's meeting with the parturient mother."
Implementation of SCC by providing evidence-based practice and midwifery standards to mothers and neonates can help improve women's experiences of the birth process. By reminding midwives to encourage women to have a companion during childbirth and by giving the necessary training to them about danger signs in every stage of childbirth from admission to discharge, this checklist can not only lead to positive birth experiences but also improve the interaction of mothers with midwives. Therefore, it is recommended that this checklist be used in maternity wards.
安全分娩检查表（SCC）旨在帮助卫生工作者执行基本任务，并提高分娩期间母婴护理质量（QoC）。鉴于任何社会中的人类经历都会受到文化、经济和社会差异的影响。因此，本定性研究旨在调查母亲对自然分娩的看法和经历，以及基于SCC的分娩管理中的护理质量。
本研究是一项定性研究，于2022年至2023年通过目标抽样法，对在阿瓦士两家医院根据SCC分娩的妇女进行了研究。18名妇女在分娩后1个月参加了访谈。采用传统内容分析法对数据进行分析。
总体而言，从访谈中提取了870个编码。受访母亲对使用SCC的满意度归纳为七个主要主题，即“对同伴全面支持的满意度”、“对助产士全面支持的满意度”、“对丈夫情感支持的满意度”、“对助产士与产妇相互互动的满意度”、“通过培训为分娩和产后不同阶段的挑战做准备”、“对同伴采取的疼痛管理策略的满意度”、“对皮肤接触和早期母乳喂养的满意度”以及“对夫妻关系加强和丈夫与产妇见面后对父亲角色的接受度的满意度”。
通过为母亲和新生儿提供循证实践和助产标准来实施SCC，有助于改善女性的分娩体验。通过提醒助产士鼓励女性在分娩时有同伴陪伴，并在分娩从入院到出院的每个阶段向她们提供有关危险信号的必要培训，该检查表不仅可以带来积极的分娩体验，还可以改善母亲与助产士之间的互动。因此，建议在产科病房使用该检查表。
