A Mirage of Change: Family-Centered Maternity Care in Practice
A Mirage of Change: Family-Centered Maternity Care in Practice
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DOI：
10.1111/j.1523-536x.2010.00396.x
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发表时间：
2010-06-01
影响因子：
2.5
通讯作者：
Mason, Catherine
中科院分区：
文献类型：
--
作者：
Jimenez, Vania;Klein, Michael C.;Mason, Catherine
背景：自20世纪70年代以来，北美的“人性化”分娩运动已经演变为“以家庭为中心的产妇护理”，其重点是提供基于证据的产妇护理，以满足妇女及其家庭的需求。本研究的目的是探讨妇女的分娩经验的范围内发生的许多变化，在围产期保健，并确定如何获得有关怀孕和分娩的信息和知识影响妇女的分娩experiences.Methods：半结构化的访谈进行了产前保健诊所在蒙特利尔和温哥华与36名妇女出生前和出生后。在那些更清楚自己选择的女性中，那些选择分娩中心或家庭分娩和助产士的女性对风险的看法与那些计划在医院分娩的女性不同。研究参与者普遍感到消息灵通，但认为，信息共享，协作决策，或两者都是不足的劳动和分娩在医院setting.Conclusions：尽管近年来积极的变化，以家庭为中心的孕产妇保健在加拿大仍然需要改善。由于护理制度不重视妇女的知情选择，妇女利用其获得的产前知识对其生育经验感到满意的能力继续受到损害。还需要进行进一步的系统改革，使产妇护理与加拿大分娩妇女及其家庭的需要保持一致。（出生37：2010年6月2日）。
Background:Since the 1970s, the movement to "humanize" birth in North America has evolved into "family-centered maternity care," which has focused on providing evidence-based maternity care that is responsive to the needs of women and their families. The objective of this research was to explore women's birth experiences within the context of the numerous changes that have occurred in perinatal care and to determine how information and knowledge acquired about pregnancy and birth influenced women's birth experiences.Methods:Semi-structured interviews were conducted in prenatal health clinics in Montreal and Vancouver with 36 women before and after birth.Results:Most study participants were unaware of the range of available providers and birth settings. Of the women who were more aware of their options, those selecting a birth center or home birth and midwives had different notions of risk than those who planned a hospital birth. Study participants felt generally well informed, but thought that information sharing, collaborative decision making, or both were inadequate during labor and birth within the hospital setting.Conclusions:Despite positive changes in recent years, family-centered maternity care in Canada still needs to be improved. Women's ability to use their acquired prenatal knowledge to feel satisfied by their birth experience continues to be undermined by a system of care that does not prioritize women's informed choice. Further systemic change is required to align maternity care with the needs of Canadian birthing women and their families. (BIRTH 37:2 June 2010).