Promotion of the respectful care childbirth in Mongolia: an exploratory study of the effects of facility-based intervention in a large public maternity hospital

在蒙古推广尊重护理分娩：大型公立妇产医院基于设施的干预效果的探索性研究

• 批准号: 19K19637
• 负责人: トゴバタラ ガンチメゲ
• 金额: $ 2.66万
• 依托单位: University of Tsukuba
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Early-Career Scientists
• 财政年份: 2019
• 资助国家: 日本
• 起止时间: 2019-04-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-19K19637/
• 关键词: doula support; childbirth experience; continuous support; hosiptal based support; women's satisfaction; respectful care; maternity care; non-medical support; childbirth; women's experience

One-group posttest-only quasi-experimental study was conducted at one of the four maternity hospitals in Ulaanbaatar, the capital city of Mongolia. The study intervention was the continuous support during labor and delivery by the midwifery baccalaureate senior students to 2-4 laboring women. In total 828 women participated in this study, 420 (43.6%) and 408 (50.2%) women in the pre-intervention and intervention group. Childbirth Experience Questionnaire was one of the data collected. It was not used previously in Mongolia. Therefore, in this study, I translated this tool and validated it. The result is published in a peer-review journal. The Published a research article titled Translation and Validation of the Mongolian version of the Childbirth Experience Questionnaire. A preliminary analysis of the main findings was conducted.There were no significant differences in demographic and obstetric data between groups. Duration in the labor room was significantly shorter among multiparous women (5.2±2.4 hours vs 6.2±4.8 hours) and women who received oxytocin to augment labor (6.8±1.6 hours vs 7.8±5.5 hours ) in the intervention group. No differences in the use of oxytocin to augment labor and episiotomy or perineal tears between groups. Overall and domain scores of the CEQ were higher in the intervention group.

在蒙古首都乌兰巴托的四家妇产医院之一进行了单组后测准实验研究。研究介入为助产士学士高年级学生对2-4位临产妇女于产程及分娩期间之持续性支持。共有828名妇女参加了这项研究，其中干预前和干预组分别有420名（43.6%）和408名（50.2%）妇女。分娩经验问卷是收集的数据之一。以前在蒙古没有使用过。因此，在这项研究中，我翻译了这个工具并验证了它。结果发表在同行评审期刊上。发表了一篇题为《分娩经验问卷蒙古文版的翻译与验证》的研究文章。对主要结果进行了初步分析，两组人口学和产科数据无显著差异。在干预组中，经产妇女（5.2±2.4小时vs 6.2±4.8小时）和接受催产素以增加分娩的妇女（6.8±1.6小时vs 7.8±5.5小时）在分娩室中的持续时间明显较短。两组在使用催产素增加分娩和会阴切开术或会阴撕裂方面没有差异。干预组的CEQ总分和领域得分较高。