Women's experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana
Women's experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana
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DOI：
10.1186/s12884-019-2698-4
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发表时间：
2020-01-02
影响因子：
3.1
通讯作者：
Mwini Nyaledzigbor, Prudence P.
中科院分区：
文献类型：
--
作者：
Afaya, Agani;Dzomeku, Veronica Millicent;Mwini Nyaledzigbor, Prudence P.
分娩对女性来说仍然是一个独特的、多方面的、心理认知的、重要的生活经历。它由各种心理，社会和情感方面组成，并创造记忆，有时是糟糕的经历和未满足的期望，给母亲留下持久的伤疤。因此，本研究旨在探讨加纳一家公立医院剖腹产后分娩母亲的助产护理经验。方法采用描述性探索性定性研究方法，探讨产妇在剖宫产手术前后的助产护理经验。这项研究采用了有目的的抽样技术，招募了22名对研究现象有所了解的参与者。数据收集由访谈指南指导，包括在产后病房和诊所进行面对面的个人访谈和焦点小组讨论。所有访谈均录音，时长30-40分钟。录音记录逐字转录，并采用归纳性专题数据分析。结果通过对参与者记录的分析，发现了四个主要主题：助产士的支持（生理和心理，以及对患者疼痛管理的态度）；保护母亲（提供隐私、保密和物质环境）；提供信息/沟通（剖腹产前和小任务前）和助产士的态度（对分娩护理的态度）。结论剖宫产产妇的助产护理经历多种多样，既有积极的，也有消极的。提供心理支持和适当的疼痛管理是积极的经验。所经历的挑战与提供信息、隐私和物理支持有关。参与者，特别是接受紧急CS的参与者，对提供的有关手术过程的信息不满意。提供隐私和实际支助也是令人极为关切的问题。因此，我们建议支持性和敏感的助产护理，特别是对接受紧急CS的母亲。记录妇女在CS分娩前后的各种助产护理经历对医疗保健提供者、医院管理人员和政策制定者很重要，因为所获得的反馈可用于改善产妇服务并为助产护理决策提供信息。
Background Childbirth remains a uniquely multifaceted, mental-cognitive and a major life experience to women. It is composed of a variety of psycho social and emotional aspects and creates memories, sometimes bad experiences and unmet expectations which leaves the mother with lasting scars. Therefore, this study aimed at exploring post-caesarean section delivered mothers experiences of midwifery care in a public hospital in Ghana. Methods This descriptive exploratory qualitative research used an interpretative approach to explore mothers' experiences of midwifery care immediately before and after caesarean section (CS). The study employed a purposive sampling technique in recruiting 22 participants who had knowledge of the phenomenon under study. Data collection was guided by an interview guide, which involved face to face individual interviews and focus group discussion at the postnatal ward and clinic. All interviews were audio-recorded and lasted 30-40 min. Audio recordings were transcribed verbatim and inductive thematic data analysis employed. Results Four major themes emerged from the analysis of participants' transcripts: Support by Midwives (physical and psychological, and attitude towards patients' pain management); Protection of mothers (provision of privacy, confidentiality and physical environment); Provision of information/communication (before caesarean section, and before a minor task) and midwives' attitude (attitude towards delivery care). Conclusion Mothers delivered by caesarean section had varied experiences of midwifery care which were both positive and negative ones. Provision of psychological support and adequate pain management were positive experiences. The challenges experienced were related to provision of information, privacy, and physical support. Participants, who underwent emergency CS in particular, were dissatisfied with the provision of information concerning the surgical procedure. Provision of privacy and physical support were also issues of great concern. We therefore, recommend supportive and sensitive midwifery care particularly for mothers undergoing emergency CS. Documenting women's diverse experiences of midwifery care before and after CS delivery is important to healthcare providers, hospital managers and policy makers as the feedback garnered can be used to improve maternity services and inform decisions on midwifery care.