PDF(Pubmed)
Abstract：
BACKGROUND: A birth companion is a powerful mechanism for preventing mistreatment during childbirth and is a key component of respectful maternity care (RMC). Despite a growing body of evidence supporting the benefits of birth companions in enhancing the quality of care and birth experience, the successful implementation of this practice continues to be a challenge, particularly in developing countries. Our aim was to investigate the acceptability, adoption, appropriateness, feasibility, and fidelity of implementation strategies for birth companions to mitigate the mistreatment of women during childbirth in Tehran.
METHODS: This exploratory descriptive qualitative study was conducted between April and August 2023 at Valiasr Hospital in Tehran, Iran. Fifty-two face-to-face in-depth interviews were conducted with a purposive sample of women, birth companions, and maternity healthcare providers. Interviews were audio-recorded, transcribed verbatim, and analyzed using content analysis, with a deductive approach based on the Implementation Outcomes Framework in the MAXQDA 18.
RESULTS: Participants found the implemented program to be acceptable and beneficial, however the implementation team noticed that some healthcare providers were initially reluctant to support it and perceived it as an additional burden. However, its adoption has increased over time. Healthcare providers felt that the program was appropriate and feasible, and it improved satisfaction with care and the birth experience. Participants, however, highlighted several issues that need to be addressed. These include the need for training birth companions prior to entering the maternity hospital, informing women about the role of birth companions, assigning a dedicated midwife to provide training, and addressing any physical infrastructure concerns.
CONCLUSIONS: Despite some issues raised by the participants, the acceptability, adoption, appropriateness, feasibility, and fidelity of the implementation strategies for birth companions to mitigate the mistreatment of women during childbirth were well received. Future research should explore the sustainability of this program. The findings of this study can be used to support the implementation of birth companions in countries with comparable circumstances.
METHODS: This exploratory descriptive qualitative study was conducted between April and August 2023 at Valiasr Hospital in Tehran, Iran. Fifty-two face-to-face in-depth interviews were conducted with a purposive sample of women, birth companions, and maternity healthcare providers. Interviews were audio-recorded, transcribed verbatim, and analyzed using content analysis, with a deductive approach based on the Implementation Outcomes Framework in the MAXQDA 18.
RESULTS: Participants found the implemented program to be acceptable and beneficial, however the implementation team noticed that some healthcare providers were initially reluctant to support it and perceived it as an additional burden. However, its adoption has increased over time. Healthcare providers felt that the program was appropriate and feasible, and it improved satisfaction with care and the birth experience. Participants, however, highlighted several issues that need to be addressed. These include the need for training birth companions prior to entering the maternity hospital, informing women about the role of birth companions, assigning a dedicated midwife to provide training, and addressing any physical infrastructure concerns.
CONCLUSIONS: Despite some issues raised by the participants, the acceptability, adoption, appropriateness, feasibility, and fidelity of the implementation strategies for birth companions to mitigate the mistreatment of women during childbirth were well received. Future research should explore the sustainability of this program. The findings of this study can be used to support the implementation of birth companions in countries with comparable circumstances.
摘要：
背景：分娩伴侣是预防分娩期间虐待的强大机制，并且是尊重产妇护理（RMC）的关键组成部分。尽管越来越多的证据支持分娩伙伴在提高护理质量和分娩体验方面的益处，这一做法的成功实施仍然是一个挑战，特别是在发展中国家。我们的目的是调查可接受性，收养,适当性，可行性,以及确保为分娩伙伴实施战略，以减轻德黑兰分娩期间对妇女的虐待。
方法：这项探索性描述性定性研究于2023年4月至8月在德黑兰的Valiasr医院进行，伊朗。有目的的女性样本进行了52次面对面的深度访谈，出生的同伴，和产妇保健提供者。采访是录音的，逐字转录，并使用内容分析进行分析，采用基于MAXQDA18中实施结果框架的演绎方法。
结果：参与者发现实施的计划是可以接受和有益的，然而，实施团队注意到，一些医疗服务提供者最初不愿意支持它，并认为这是一个额外的负担。然而,它的采用随着时间的推移而增加。医疗保健提供者认为该计划是适当和可行的，它提高了对护理和分娩体验的满意度。参与者,然而,强调了需要解决的几个问题。这些措施包括在进入妇产医院之前需要培训分娩伙伴，告知女性生育伴侣的角色，指派一名专门的助产士提供培训，并解决任何物理基础设施问题。
结论：尽管与会者提出了一些问题，可接受性，收养,适当性，可行性,和忠实的实施战略，以减轻妇女在分娩期间的虐待受到欢迎。未来的研究应该探索该计划的可持续性。这项研究的结果可用于支持在具有可比情况的国家实施生育伴侣。
方法：这项探索性描述性定性研究于2023年4月至8月在德黑兰的Valiasr医院进行，伊朗。有目的的女性样本进行了52次面对面的深度访谈，出生的同伴，和产妇保健提供者。采访是录音的，逐字转录，并使用内容分析进行分析，采用基于MAXQDA18中实施结果框架的演绎方法。
结果：参与者发现实施的计划是可以接受和有益的，然而，实施团队注意到，一些医疗服务提供者最初不愿意支持它，并认为这是一个额外的负担。然而,它的采用随着时间的推移而增加。医疗保健提供者认为该计划是适当和可行的，它提高了对护理和分娩体验的满意度。参与者,然而,强调了需要解决的几个问题。这些措施包括在进入妇产医院之前需要培训分娩伙伴，告知女性生育伴侣的角色，指派一名专门的助产士提供培训，并解决任何物理基础设施问题。
结论：尽管与会者提出了一些问题，可接受性，收养,适当性，可行性,和忠实的实施战略，以减轻妇女在分娩期间的虐待受到欢迎。未来的研究应该探索该计划的可持续性。这项研究的结果可用于支持在具有可比情况的国家实施生育伴侣。
