关键词: Birth trauma Communication Home childbirth Paramedics Parturition Woman-centred

Mesh : Humans Female Communication Allied Health Personnel / psychology statistics & numerical data Pregnancy Professional-Patient Relations Parturition / psychology Paramedics

来  源:   DOI:10.1016/j.auec.2024.04.002

Abstract:
BACKGROUND: Internationally, over one-third of women experience birth trauma, leading to adverse mental health outcomes. Poor communication with healthcare professionals is a primary contributing factor. Paramedics attend various clinical presentations, including childbirth, yet their potential impact on women\'s birth experiences has been largely overlooked.
METHODS: A systematic literature search was conducted following the Joanna Briggs Institute methodological framework. The search identified 1015 potentially suitable articles, and 5 articles met the inclusion criteria. Data was analysed using reflexive thematic analysis from a feminist standpoint.
RESULTS: Three themes were generated: 1. First Impressions Count: paramedic demeanour impacted the woman\'s sense of safety and perception of paramedic clinical competence. 2. Choice as a Pathway to Control: when paramedics involved women in decision-making, it led to empowerment, while non-involvement led to women becoming passive participants. 3. Exposed, Violated and Disempowered: some paramedics disrespected and abused women, treating them solely as objects for the purpose of producing a baby.
CONCLUSIONS: This review highlights the influence of paramedic communication on women\'s birth experiences. While some paramedics communicated respectfully, other paramedics were the perpetrators of Obstetric Violence. Future research should inform paramedic education and improve outcomes for birthing women.
摘要:
背景:国际上,超过三分之一的女性经历过先天创伤,导致不良的心理健康结果。与医疗保健专业人员沟通不畅是一个主要因素。护理人员参加各种临床表现,包括分娩,然而,它们对女性分娩经历的潜在影响在很大程度上被忽视了。
方法:遵循JoannaBriggs研究所的方法框架进行了系统的文献检索。搜索确定了1015个潜在合适的文章,5篇符合纳入标准。从女权主义的角度使用反身主题分析对数据进行了分析。
结果:产生了三个主题:1.第一印象:护理人员的举止影响了女性的安全感和护理人员临床能力的感知。2.选择作为控制的途径:当护理人员让女性参与决策时,它导致了赋权,而不参与导致女性成为被动参与者。3.暴露,侵犯和剥夺权力:一些护理人员不尊重和虐待妇女,将它们仅仅作为生产婴儿的对象。
结论:这篇综述强调了护理人员沟通对女性分娩经历的影响。当一些护理人员恭敬地交流时,其他护理人员是产科暴力的肇事者。未来的研究应该为护理人员教育提供信息,并改善分娩妇女的结果。
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