Perceptions about labor companionship at public teaching hospitals in three Arab countries
Perceptions about labor companionship at public teaching hospitals in three Arab countries
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DOI：
10.1016/j.ijgo.2014.12.005
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发表时间：
2015-06-01
影响因子：
3.8
通讯作者：
Bashour, Hyam
中科院分区：
文献类型：
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作者：
Kabakian-Khasholian, Tamar;El-Nemer, Amina;Bashour, Hyam
目的：探讨妇女、女性亲属和医护人员对分娩陪伴的看法。方法：采用定性研究方法，于2012年5月至12月在黎巴嫩贝鲁特、叙利亚大马士革和埃及曼苏拉三家大型公立教学医院通过半结构化访谈收集产妇、女性家庭成员和医护人员的数据。焦点小组包括助产士、护士和住院医生。数据通过专题分析进行评估。结果：共对69名产妇、57名女性亲属和28名产科医生进行了访谈，并进行了2次焦点小组讨论。女性报告说，在分娩过程中独自一人会增加恐惧和焦虑的感觉。她们表示感谢专业支持，但在分娩过程中，家庭成员提供的心理支持让她们感到安慰。助产士和护士指出，与护理组织和她们的作用边缘化有关的结构性因素是实施最佳做法的障碍。产科医生提到缺乏产前教育课程和社会规范是阻碍组织劳动支持倡议的因素。结论：分娩陪伴可改善产妇分娩体验和结局。需要解决组织结构障碍和不支持提供者的态度，以影响医院的做法。(C) 2015年国际妇产科联合会。爱思唯尔爱尔兰有限公司出版。版权所有。
Objective: To explore the perspectives of women, female relatives, and healthcare providers on labor companionship. Methods: In a qualitative study, data were collected from women giving birth, female family members, and healthcare staff via semi-structured interviews in three large public teaching hospitals in Beirut (Lebanon), Damascus (Syria), and Mansoura (Egypt) between May and December 2012. Focus groups were conducted with midwives, nurses, and medical residents. Data were assessed by thematic analysis. Results: A total of 69 women, 57 female relatives, and 28 obstetricians were interviewed, and two focus groups discussions occurred. Women reported that being alone during labor raises feelings of fear and anxiety. They reported appreciating professional support but found comfort in the psychological support offered by family members during labor. Midwives and nurses pointed to structural factors related to the organization of care and to the marginalization of their role as barriers to implementing best practices. Obstetricians referred to the absence of prenatal education classes, and social norms as factors impeding the organization of labor support initiatives. Conclusion: Implementing labor companionship can improve women's childbirth experiences and outcomes. Organizational structural barriers and non-supportive providers' attitudes need to be addressed to influence hospital practices. (C) 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.