关键词: childbirth experience definition positive childbirth postpartum provider interactions subjective woman centered

Mesh : Female Pregnancy Humans Maternal Health Services Parturition / psychology Delivery, Obstetric / psychology Women's Health Quality of Health Care

来  源:   DOI:10.1111/birt.12666

Abstract:
A positive childbirth experience promotes women\'s health, both during and beyond the perinatal period. Understanding what constitutes a positive childbirth experience is thus critical to providing high-quality maternity care. Currently, there is no clear, inclusive, woman-centered definition of a positive childbirth experience to guide practice, education, and research.
To formulate an inclusive woman-centered definition of a positive childbirth experience.
A six-step process was undertaken: (a) Key concepts associated with a positive childbirth were derived from a rapid literature review; (b) The key concepts were used by interdisciplinary experts in the author group to create a draft definition; (c) The draft definition was presented to clinicians and researchers during a European research meeting on perinatal mental health; (d) The authors integrated the expert feedback to refine the working definition; (e) A revised definition was shared with women from consumer groups in six countries to confirm its face validity; and (f) A final definition was formulated based on the women\'s feedback (n = 42).
The following definition was formulated: \"A positive childbirth experience refers to a woman\'s experience of interactions and events directly related to childbirth that made her feel supported, in control, safe, and respected; a positive childbirth can make women feel joy, confident, and/or accomplished and may have short and/or long-term positive impacts on a woman\'s psychosocial well-being.\"
This inclusive, woman-centered definition highlights the importance of provider interactions for facilitating a positive childbirth experience. Feeling supported and having a sense of control, safety, and respect are central tenets. This definition could help to identify and validate positive childbirth experience(s), and to inform practice, education, research, advocacy, and policy-making.
摘要:
背景:积极的分娩经历可以促进妇女的健康,在围产期期间和之后。因此,了解什么是积极的分娩经历对于提供高质量的产妇护理至关重要。目前,没有明确的,包容性,以女性为中心的积极分娩经验的定义来指导实践,教育,和研究。
目的:制定以女性为中心的积极分娩体验的包容性定义。
方法:进行了六步过程:(a)与积极分娩相关的关键概念来自快速的文献综述;(b)作者小组中的跨学科专家使用关键概念来创建定义草案;(c)在欧洲围产期心理健康研究会议上向临床医生和研究人员提交了定义草案;(d)作者将专家反馈整合到其中,以改进了六个工作定义(f=e)
结果:制定了以下定义:“积极的分娩经历是指女性与分娩直接相关的互动和事件的经历,使她感到支持,在控制中,安全,和尊重;积极的分娩可以让女性感到快乐,自信,和/或已完成,并可能对女性的社会心理健康产生短期和/或长期的积极影响。\"
结论:这个包容性,以女性为中心的定义强调了提供者互动对促进积极分娩体验的重要性.感觉被支持并有控制感,安全,尊重是核心原则。这个定义可以帮助识别和验证积极的分娩经验,并告知实践,教育,研究,倡导,和政策制定。
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