Allum Kristine E, Tilly Synne, Dahl Bente
Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, University of South-Eastern Norway, Borre, Norway.
Eur J Midwifery. 2025 Mar 26;9. doi: 10.18332/ejm/200615. eCollection 2025.
Postpartum hemorrhage (PPH) is a serious complication following childbirth and the most common cause of maternal mortality globally. Women who survive PPH have an increased risk of enduring long-term physical and psychological consequences. This meta-ethnography aimed to investigate women's experiences of postpartum hemorrhage to develop new insights and understanding of women's needs for care and follow-up after a PPH.
A meta-ethnography was carried out in accordance with Noblit and Hare's seven phases and the eMERGe reporting guidance. Comprehensive literature searches were conducted in MEDLINE, CINAHL, and Maternity and Infant Care, in January 2024. A PRISMA flowchart was used to illustrate the search process and quality assessment was performed according to CASP.
Eight studies were included based on specific inclusion criteria. The analysis and synthesis led to the overarching metaphor of 'Being touched by death while giving birth to life' encompassing three main themes. The first theme, 'When death roams by' described women's experiences with PPH as an encounter with death, leading to fear and severe pain. The second theme 'Living on with an emotional scar' indicated how PPH was an experience leaving deep impact in a person. The final theme, 'Healthcare providers as anchors amid the chaos', described that women valued healthcare professionals who demonstrated empathy and good communication skills.
Our study emphasizes the importance of healthcare providers, particularly midwives, providing empathetic care to aid women in recovering from postpartum hemorrhage.
产后出血（PPH）是分娩后的一种严重并发症，也是全球孕产妇死亡的最常见原因。经历过产后出血的女性面临着长期身体和心理后果的风险增加。这项元民族志旨在调查女性产后出血的经历，以获得关于女性产后出血护理及随访需求的新见解和理解。
按照诺布利特和黑尔的七个阶段以及eMERGe报告指南进行元民族志研究。2024年1月在MEDLINE、CINAHL以及母婴护理数据库中进行了全面的文献检索。使用PRISMA流程图来说明检索过程，并根据CASP进行质量评估。
根据特定纳入标准纳入了八项研究。分析与综合得出了“在孕育生命时与死亡擦肩而过”这一总体隐喻，涵盖三个主要主题。第一个主题“当死亡徘徊时”描述了女性将产后出血经历视为与死亡的遭遇，从而产生恐惧和剧痛。第二个主题“带着情感创伤继续生活”表明产后出血如何给人留下深刻影响。最后一个主题“混乱中的医疗服务提供者是依靠”描述了女性重视那些表现出同理心和良好沟通技巧的医疗专业人员。
我们的研究强调了医疗服务提供者，尤其是助产士，提供同理心护理以帮助女性从产后出血中恢复的重要性。
