Campero L, García C, Díaz C, Ortiz O, Reynoso S, Langer A
Centro de Investigaciones en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Soc Sci Med. 1998 Aug;47(3):395-403. doi: 10.1016/s0277-9536(98)00077-x.
This article presents some of the most relevant qualitative results of a trial to evaluate the effects of the provision of psychosocial support to first-time mothers during labor, childbirth and in the immediate postpartum period in a social security hospital in Mexico City. The article focuses on the experiences of mothers who have received psychosocial support from a doula (the term doula is used to identify a woman who provides continuous support to a woman during labor. delivery and the immediate postpartum period) and compares them with the experiences of those women who gave birth following normal hospital routine. Sixteen in-depth interviews were held with women in the immediate post partum period (eight of whom had been accompanied by a doula and eight who had not) before they were discharged from hospital, and the results were analyzed using qualitative techniques. The interviews showed that the women accompanied by a doula had a more positive childbirth experience. The differences between both groups related to their perceptions of the childbirth experience; the treatment they received from hospital staff; the information they were given and how well they understood it; their perception of hospital routines; their feelings about cesarean sections and, spatial and temporal perceptions. The most important difference between the two groups was the way they expressed their feelings about their own labor, their sense of control and their self-perception.
本文介绍了一项试验的一些最相关的定性结果，该试验旨在评估在墨西哥城一家社会保障医院为初产妇在分娩、生产及产后即刻提供心理社会支持的效果。本文重点关注接受导乐（导乐一词用于指在分娩、生产及产后即刻为女性提供持续支持的女性）心理社会支持的母亲的经历，并将她们的经历与按照医院常规流程分娩的女性的经历进行比较。在产后即刻对16名女性进行了深度访谈（其中8名有导乐陪伴，8名没有），在她们出院前进行，结果采用定性技术进行分析。访谈表明，有导乐陪伴的女性有更积极的分娩体验。两组之间的差异涉及她们对分娩体验的认知；她们从医院工作人员那里得到的治疗；她们得到的信息以及对信息的理解程度；她们对医院常规流程的认知；她们对剖宫产的感受以及空间和时间认知。两组之间最重要的差异在于她们表达对自身分娩的感受、控制感和自我认知的方式。
