The early postnatal period: exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia.
The early postnatal period: exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia.
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DOI：
10.1186/1471-2393-8-27
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发表时间：
2008-07-22
影响因子：
3.1
通讯作者：
Rayner, Sharon
中科院分区：
文献类型：
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作者：
Forster, Della A;McLachlan, Helen L;Rayner, Sharon
背景技术背景：澳大利亚和海外越来越多的证据表明，医院在产后早期提供的护理对妇女和护理提供者来说都不太理想。许多保健服务机构面临着医院病床越来越大的压力，可用于照顾母亲及其婴儿的实际空间有限。我们的目的是更深入地了解妇女的意见，期望和经验，早期产后care.METHODS：我们进行了重点小组在农村和大都市维多利亚，澳大利亚在2006年。52人参加了八个焦点小组和四次访谈。参与者包括8名孕妇，其中7名是第一次怀孕; 42名妇女谁是在产后期间（一些长达12个月后，他们的孩子出生）;和两个合作伙伴。所有与会者都能说流利的英语。焦点小组指南是专门为这项研究开发的，并探讨了参与者在医院和家中对早期产后护理的经验和/或期望，重点是住院时间、专业和社会支持、护理的连续性和休息。对讨论进行了录音和逐字记录。一个主题网络的构建，描述和连接类别与新兴的基本，组织，和全球themes.RESULTS：全球出现的主题是：焦虑和/或恐惧;和过渡到母亲和养育子女。第一次做母亲的妇女的需要被认为与已经做过母亲的妇女的需要不同。这项研究中的女性普遍担心新生儿的安全，对自己作为新妈妈照顾婴儿的能力缺乏信心。有一个一致的观点，物理存在和专业支持的可用性有助于缓解这些问题，这是特别是妇女有第一个baby.CONCLUSION：妇女有焦虑和恐惧周围的早期养育和他们的角色变化，并可能考虑，在这段时间的物理可用性的专业护理提供者将有所帮助。护理人员应该认识到这些潜在的问题。在计划改变服务提供方式时，必须考虑到妇女的关切和需要。如果对新的父母的焦虑是一种主要观点，那么护理提供者需要认识到这一点，并确保护理个性化，以解决每个妇女/家庭的特殊问题。
BACKGROUND: There is growing evidence from Australia and overseas that the care provided in hospital in the early postnatal period is less than ideal for both women and care providers. Many health services face increasing pressure on hospital beds and have limited physical space available to care for mothers and their babies. We aimed to gain a more in-depth understanding of women's views, expectations and experiences of early postnatal care.METHODS: We conducted focus groups in rural and metropolitan Victoria, Australia in 2006. Fifty-two people participated in eight focus groups and four interviews. Participants included eight pregnant women, of whom seven were pregnant with their first baby; 42 women who were in the postpartum period (some up to twelve months after the birth of their baby); and two partners. All participants were fluent in English. Focus group guides were developed specifically for the study and explored participants' experiences and/or expectations of early postnatal care in hospital and at home, with an emphasis on length of hospital stay, professional and social support, continuity of care, and rest. Discussions were audio-taped and transcribed verbatim. A thematic network was constructed to describe and connect categories with emerging basic, organizing, and global themes.RESULTS: Global themes that emerged were: anxiety and/or fear; and the transition to motherhood and parenting. The needs of first time mothers were considered to be different to the needs of women who had already experienced motherhood. The women in this study were generally concerned about the safety of their new baby, and lacked confidence in themselves as new mothers regarding their ability to care for their baby. There was a consistent view that the physical presence and availability of professional support helped alleviate these concerns, and this was especially the case for women having a first baby.CONCLUSION: Women have anxieties and fears around early parenting and their changing role, and may consider that the physical availability of professional care providers will help during this time. Care providers should be cognisant of these potential issues. It is crucial that women's concerns and needs be considered when service delivery changes are planned. If anxiety around new parenting is a predominant view then care providers need to recognise this and ensure care is individualised to address each woman's/families particular concerns.