Preventing traumatic childbirth experiences: 2192 women's perceptions and views.
Preventing traumatic childbirth experiences: 2192 women's perceptions and views.
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DOI：
10.1007/s00737-017-0729-6
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发表时间：
2017-08
期刊：
影响因子：
--
通讯作者：
Stramrood CAI
中科院分区：
文献类型：
--
作者：
Hollander MH;van Hastenberg E;van Dillen J;van Pampus MG;de Miranda E;Stramrood CAI
本研究的目的是探讨和量化的看法和经验的妇女与创伤性分娩的经验，以确定预防领域，并帮助助产士和产科医生改善以妇女为中心的护理。对2192名自我报告有创伤性分娩经历的妇女进行了一项在线回顾性调查。2016年3月，女性通过社交媒体招募，包括特定的家长支持团体。他们填写了一份35项问卷，其中最重要的项目是（1）自我报告的创伤归因以及他们如何相信创伤经历可以被预防（2）由照顾者或（3）由他们自己。最常见的回答是（1）缺乏和/或失去控制（54.6%），担心宝宝的健康/生命（49.9%）和高强度疼痛/身体不适（47.4%）;（2）沟通/解释（39.1%），听我说（更多）（36.9%），和支持我（更多/更好）情感/实际（29.8%）;和（3）没有（37.0%），要求（26.9%），或拒绝（16.5%）某些干预。初产参与者选择高强度疼痛/身体不适，分娩持续时间长，期望与现实之间的不一致更频繁，对自己的健康/生命感到恐惧，结果不好，分娩过快比多产参与者少。妇女将其创伤性分娩经历主要归因于缺乏和/或失去控制、沟通问题和实际/情感支持。他们认为，在许多情况下，他们的创伤本来可以减少或防止更好的沟通和支持，他们的照顾者，或如果他们自己要求或拒绝干预。
The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women with a self-reported traumatic childbirth experience. Women were recruited in March 2016 through social media, including specific parent support groups. They filled out a 35-item questionnaire of which the most important items were (1) self-reported attributions of the trauma and how they believe the traumatic experience could have been prevented (2) by the caregivers or (3) by themselves. The responses most frequently given were (1) Lack and/or loss of control (54.6%), Fear for baby’s health/life (49.9%), and High intensity of pain/physical discomfort (47.4%); (2) Communicate/explain (39.1%), Listen to me (more) (36.9%), and Support me (more/better) emotionally/practically (29.8%); and (3) Nothing (37.0%), Ask for (26.9%), or Refuse (16.5%) certain interventions. Primiparous participants chose High intensity of pain/physical discomfort, Long duration of delivery, and Discrepancy between expectations and reality more often and Fear for own health/life, A bad outcome, and Delivery went too fast less often than multiparous participants. Women attribute their traumatic childbirth experience primarily to lack and/or loss of control, issues of communication, and practical/emotional support. They believe that in many cases, their trauma could have been reduced or prevented by better communication and support by their caregiver or if they themselves had asked for or refused interventions.
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影响因子：
2.5
作者：
Soet, JE;Brack, GA;Dilorio, C
通讯作者：
Dilorio, C
影响因子：
3.1
作者：
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通讯作者：
Whorwell, Peter
影响因子：
1.5
作者：
Ayers, S
通讯作者：
Ayers, S
影响因子：
2.5
作者：
Rijnders, Marlies;Baston, Helen;Buitendijk, Simone
通讯作者：
Buitendijk, Simone
影响因子：
3.3
作者：
Harris, Rachel;Ayers, Susan
通讯作者：
Ayers, Susan