Alechana Justina Atogichiga, Asamoah Ampofo Evelyn, Mumuni Adiza Atoko, Dzantor Edem Kojo, Gbene Jonathan
Department of Midwifery, College of Nursing and Midwifery, Nalerigu, North -East Region, Ghana.
Department of Maternal and Child Health, School of Nursing and Midwifery, University of Ghana.
Midwifery. 2025 Apr;143:104335. doi: 10.1016/j.midw.2025.104335. Epub 2025 Feb 10.
While there are many studies on women's childbirth experiences globally, there is limited studies on childbirth experiences in Ghana especially in the North East Region.
The environment where women give birth is important, influences the birth process and outcomes of mother and neonate. Current understanding of influence birth environment and childbirth experiences in the northern parts of Ghana has not been fully explored.
Our study aimed at exploring the birth environment and mothers' childbirth experiences in North-East Region, Ghana.
An exploratory-descriptive qualitative (EDQ) study involving thirteen (Tzeng et al., 2017) purposefully selected postnatal mothers in Nalerigu was conducted. Using a semi-structured interview guide, individual face-to-face in-depth tape-recorded interviews were conducted until data saturation. Interviews were transcribed verbatim and analysed using thematic analysis. Two (Afulani et al., 2019) main and 5 sub-themes emerged.
The findings of the study revealed that birthing environment had an influence on mothers' experiences with regards to comfort, and privacy. However, mothers reported that the environment did not offer options for choice to alternative birthing positions. It was observed that these environmental factors had both positive and negative effects on mothers during childbirth.
DISCUSSION & CONCLUSION: Study findings showed that the birth environment is associated with comfort, privacy, service provision satisfaction and desire for facility delivery and limited involvement in the choice of birth position. Though most of the participants indicated favourable birth environment and satisfactory services, it is important to address the concerns of the few who had negative experiences during labour to promote respectful maternity care. Antenatal education on birth positions is recommended.
虽然全球有许多关于女性分娩经历的研究，但加纳尤其是东北地区关于分娩经历的研究却很有限。
女性分娩的环境很重要，会影响分娩过程以及母亲和新生儿的结局。目前对加纳北部分娩环境和分娩经历的影响尚未得到充分探索。
我们的研究旨在探索加纳东北地区的分娩环境和母亲的分娩经历。
在纳莱里古进行了一项探索性描述性定性（EDQ）研究，涉及13名（曾等人，2017年）有目的地挑选的产后母亲。使用半结构化访谈指南，进行个人面对面深入录音访谈，直至数据饱和。访谈逐字转录并使用主题分析进行分析。出现了两个（阿富拉尼等人，2019年）主要主题和5个子主题。
研究结果表明，分娩环境对母亲在舒适度和隐私方面的体验有影响。然而，母亲们报告说，环境没有提供替代分娩姿势的选择。据观察，这些环境因素在分娩过程中对母亲既有积极影响也有消极影响。
研究结果表明，分娩环境与舒适度、隐私、服务提供满意度以及对设施分娩的渴望和在分娩姿势选择上的有限参与有关。尽管大多数参与者表示分娩环境良好且服务令人满意，但解决少数在分娩过程中有负面经历的人的担忧以促进尊重产妇护理非常重要。建议进行关于分娩姿势的产前教育。
