Mackey M C
University of South Carolina, College of Nursing, Columbia, USA.
Matern Child Nurs J. 1995 Apr-Jun;23(2):57-72.
To describe women's evaluation of their own performance during labor and delivery.
Participants (N = 60) were Lamaze-prepared, married multigravidae, aged 21-37 years who responded to open-ended questions in tape-recorded interviews during their postpartum hospital stay. Qualitative data analysis was used to identify themes.
Women evaluated their childbirth performance as managing well (45%), having difficulty (35%), and managing poorly (20%). The following helped them to manage well: short, fast labors; minimal pain; Lamaze; husband's encouragement; being informed; feeling strong; medication; and nurses' and physicians' encouragement, help with Lamaze, and information. Women who had managed well before and who were confident about managing well again tended to evaluate their childbirth performance positively. A significant difference was seen in mean labor length: Women who managed well had the shortest labors and women who managed poorly had the longest.
CONCLUSIONS & IMPLICATIONS FOR NURSING: The women confirmed the notion that they had important work to do; they identified their own performance as one of the most important or the most important component of the childbirth experience.
描述女性对自己分娩过程表现的评价。
研究对象（N = 60）为接受过拉玛泽分娩法培训的经产妇，年龄在21 - 37岁之间，她们在产后住院期间通过录音访谈回答了开放式问题。采用定性数据分析来确定主题。
女性将自己的分娩表现评价为管理良好（45%）、有困难（35%）和管理不善（20%）。以下因素有助于她们管理良好：产程短且快；疼痛轻微；拉玛泽分娩法；丈夫的鼓励；信息充分；感觉有力；药物治疗；以及护士和医生的鼓励、拉玛泽分娩法指导和信息提供。之前管理良好且对再次良好管理有信心的女性往往对自己的分娩表现评价积极。平均产程长度存在显著差异：管理良好的女性产程最短，管理不善的女性产程最长。
这些女性证实了她们有重要工作要做这一观点；她们将自己的表现视为分娩经历中最重要或最重要的组成部分之一。
