Walker J M, Hall S, Thomas M
Midwifery. 1995 Sep;11(3):120-9. doi: 10.1016/0266-6138(95)90026-8.
to elucidate the experience of labour for those receiving any aspect of care in a midwife-led unit.
a total of 32 women and six partners who were interviewed during the postnatal period, either prior to discharge from the unit or between three and five months following delivery.
in-depth focused interviews were taped, transcribed, and analysed using a grounded theory approach to identify common categories of experience.
the core category to emerge was the balance of perceived control and perceived support. Sub-categories included feeling informed, having options and choices, a supportive environment and someone to trust and give confidence. Continuity of care was found not to be an option for those whose care was transferred during pregnancy or labour.
staffing levels which provide immediate access to the support of the midwife throughout labour enhance personal control. Those with the greatest need for support and continuity of care and carer are among those least likely to receive it.
阐明在由助产士主导的机构接受任何方面护理的产妇的分娩体验。
共有32名女性和6名伴侣在产后接受了访谈，要么是在出院前，要么是在分娩后三至五个月之间。
采用扎根理论方法对深入的聚焦访谈进行录音、转录和分析，以确定常见的体验类别。
出现的核心类别是感知控制和感知支持之间的平衡。子类别包括感到信息充分、有选择、支持性的环境以及值得信任和给予信心的人。对于那些在孕期或分娩期间护理被转移的产妇来说，连续性护理并非选项。
在整个分娩过程中能立即获得助产士支持的人员配置水平可增强个人控制感。那些最需要支持以及护理和护理人员连续性的产妇，恰恰是最不可能获得这些的人群。
