关键词: (electronic) fetal heart rate monitoring Moyo Tanzania health literacy informed consent labor care labor monitoring laboring women’s attitudes low-resource setting wireless fetal heart rate monitor

Mesh : Adult Attitude to Health Female Heart Rate Determination / instrumentation Heart Rate, Fetal Humans Monitoring, Physiologic / instrumentation Parturition / psychology Patient Satisfaction Perception Pregnancy Tanzania Young Adult

来  源:   DOI:10.3390/ijerph15020302   PDF(Sci-hub)

Abstract:
To increase labor monitoring and prevent neonatal morbidity and mortality, a new wireless, strap-on electronic fetal heart rate monitor called Moyo was introduced in Tanzania in 2016. As part of the ongoing evaluation of the introduction of the monitor, the aim of this study was to explore the attitudes and perceptions of women who had worn the monitor continuously during their most recent delivery and perceptions about how it affected care. This knowledge is important to identify barriers towards adaptation in order to introduce new technology more effectively. We carried out 20 semi-structured individual interviews post-labor at two hospitals in Tanzania. A thematic content analysis was used to analyze the data. Our results indicated that the use of the monitor positively affected the women\'s birth experience. It provided much-needed reassurance about the wellbeing of the child. The women considered that wearing Moyo improved care due to an increase in communication and attention from birth attendants. However, the women did not fully understand the purpose and function of the device and overestimated its capabilities. This highlights the need to improve how and when information is conveyed to women in labor.
摘要:
加强产程监测,预防新生儿发病和死亡,一个新的无线,2016年,坦桑尼亚推出了名为Moyo的捆绑式电子胎儿心率监测器。作为对引入监测器的持续评估的一部分,这项研究的目的是探讨在最近分娩期间连续佩戴监护仪的女性的态度和看法,以及对监护仪如何影响护理的看法。这些知识对于确定适应障碍以更有效地引入新技术非常重要。我们在坦桑尼亚的两家医院进行了20次半结构化的个体访谈。使用主题内容分析来分析数据。我们的结果表明,使用监测积极影响妇女的出生经验。它为孩子的健康提供了急需的保证。妇女认为,由于接生员的交流和关注增加,佩戴Moyo可以改善护理。然而,这些妇女没有完全了解该设备的目的和功能,并高估了其功能。这突出了需要改进向劳动妇女传达信息的方式和时间。
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