Women's Perceptions of Living a Traumatic Childbirth Experience and Factors Related to a Birth Experience
Women's Perceptions of Living a Traumatic Childbirth Experience and Factors Related to a Birth Experience
复制标题
DOI：
10.3390/ijerph16091654
复制
发表时间：
2019-05-01
影响因子：
--
通讯作者：
Gomez-Salgado, Juan
中科院分区：
文献类型：
--
作者：
Rodriguez-Almagro, Julian;Hernandez-Martinez, Antonio;Gomez-Salgado, Juan
虽然世界卫生组织（世卫组织）将孕产妇心理健康确定为全球卫生优先事项，但即使在发达国家的卫生系统中，孕产妇心理健康也没有得到太多关注。由于妊娠监测协议优先考虑母亲的身体健康，因此记录分娩过程创伤影响的文献很少。为了解决这一知识差距，这种定性描述性研究的目的是调查妇女的看法生活创伤分娩的经验和相关的因素it. Qualitative数据，通过半结构化访谈收集了32名参与者从父母支持团体和社交媒体在西班牙，进行了分析，通过六个阶段的归纳专题分析。数据分析揭示五大主题？计划生育依从性、产科问题、母婴关系、情感创伤和围产期经历等13个子主题。大多数答复提到了被保健人员不了解/误导的感觉，不尊重和客观化，缺乏支持，以及分娩和产后的各种问题。恐惧、孤独、创伤压力和抑郁是参与者反应中反复出现的主题。由于医护人员的行为可能会对分娩体验产生重大影响，研究结果强烈建议需要适当的政策，程序，培训和支持，以尽量减少分娩的负面后果。
Although identified by the World Health Organization (WHO) as a global health priority, maternal mental health does not receive much attention even in the health systems of developed countries. With pregnancy monitoring protocols placing priority on the physical health of the mother, there is a paucity of literature documenting the traumatising effects of the birth process. To address this knowledge gap, this qualitative descriptive study aimed to investigate women perceptions of living a traumatic childbirth experience and the factors related to it. Qualitative data, collected via semi-structured interviews with 32 participants recruited from parent support groups and social media in Spain, were analyzed through a six-phase inductive thematic analysis. Data analysis revealed five major themes?Birth Plan Compliance, Obstetric Problems, Mother-Infant Bond, Emotional Wounds and Perinatal Experiencesand 13 subthemes. The majority of responses mentioned feelings of being un/misinformed by healthcare personnel, being disrespected and objectified, lack of support, and various problems during childbirth and postpartum. Fear, loneliness, traumatic stress, and depression were recurrent themes in participants' responses. As the actions of healthcare personnel can substantially impact a birth experience, the study findings strongly suggest the need for proper policies, procedures, training, and support to minimise negative consequences of childbirth.