Individuals' Experiences of Having an Unplanned Cesarean Birth: A Qualitative Analysis
Individuals' Experiences of Having an Unplanned Cesarean Birth: A Qualitative Analysis
复制标题
DOI：
10.1055/a-1877-6138
复制
发表时间：
2022-09-02
影响因子：
2
通讯作者：
Badreldin, Nevert
中科院分区：
文献类型：
--
作者：
DiTosto, Julia D.;Leziak, Karolina;Badreldin, Nevert
目的非计划性剖宫产的经历可能是产后情绪障碍和其他挑战的风险因素，但有关患者经历的定性数据有限。我们试图了解个人的经验，有一个计划外剖腹产。研究设计：这是一项对低收入产后个体进行的前瞻性定性调查的二次分析，主要目的是评估剖宫产后患者的产后疼痛经历。参与者在产后2至3天完成了60分钟的面对面访谈。只有在剖腹产前分娩的参与者被纳入本分析。转录本由两个独立的作者使用常数比较方法进行分析。主题说明使用直接报价。结果共有22例患者纳入本分析，其中大多数（n =16，72.7%）经历了初次剖宫产。超过一半（n =12，54.5%）被确定为西班牙裔，三分之一（n =7，31.8%）被确定为非西班牙裔黑人人种和种族。四个主题的经验，剖腹产后的劳动，包括痛苦的感觉，相信阴道分娩是“正常的”，护理团队的经验差，自我效能感。确定并概述了次主题。结论：在这个队列中，经历过计划外剖宫产的个体表达了自责、失败和不信任的感觉。鉴于计划外剖宫产与产后情绪障碍的关系，加强沟通和支持的努力可能会提供一种改善个人经历的方法。在这个队列中，许多人在计划外剖宫产后表达了负面情绪。相反，积极的主题，自我效能感的感觉。努力加强沟通和支持后，计划外剖宫产是必要的。
Objective The experience of an unplanned cesarean birth may be a risk factor for mood disorders and other challenges in the postpartum period, yet qualitative data on the patient experience are limited. We sought to understand individuals' experiences of having an unplanned cesarean birth. Study Design This was a secondary analysis of a prospective qualitative investigation among low-income postpartum individuals at a single-, tertiary-care center in which the primary aim was to evaluate patients' postpartum pain experience after a cesarean birth. Participants completed a 60-minute face-to-face interview on postpartum days 2 to 3. Only participants who labored prior to their cesarean birth were included in this analysis. Transcripts were analyzed by two separate authors using the constant comparative method. Themes are illustrated using direct quotes. Results A total of 22 individuals were included in this analysis; the majority ( n =16, 72.7%) experienced a primary cesarean birth. Over half ( n =12, 54.5%) identified as Hispanic and one-third ( n =7, 31.8%) identified as non-Hispanic Black race and ethnicity. Four themes regarding the experience of a cesarean birth after labor were identified, including feelings of anguish, belief that vaginal birth is "normal," poor experiences with care teams, and feelings of self-efficacy. Subthemes were identified and outlined. Conclusion In this cohort, individuals who experienced an unplanned cesarean birth after labor expressed feelings of self-blame, failure, and mistrust. Given the association of unplanned cesarean birth with mood disorders in the postpartum period, efforts to enhance communication and support may offer a means of improving individual experiences. Key Points In this cohort, many individuals expressed negative feelings after an unplanned cesarean birth. Conversely, positive themes related to feelings of self-efficacy were identified. Efforts to enhance communication and support after an unplanned cesarean birth are warranted.