目的:对被贩运妇女的生育经历知之甚少,需要进一步调查才能更好地为助产实践提供信息,并确保在制定指导时听到妇女的声音。
背景:被贩运的人经历了一系列可能影响怀孕的健康问题。
目的:这项研究的目的是探索被贩运妇女的怀孕和NHS产妇护理经验,以及增加对可能影响妊娠结局的社会和健康因素的了解。
方法:进行了定性访谈研究。参与者(专业人员和服务用户)是使用目的性抽样招募的。采用专题分析法对数据进行分析。
结果:进行了17次访谈(5名服务用户和12名专业人员)。确定了五个主题:“一种尺寸适合所有人”,\'失去控制\',\'社会复杂性\',\'桥接间隙\',和“情绪负荷”。
结论:我们的研究发现,女性被期望适应标准化的产妇护理模式,这种模式并不总是能识别她们复杂的个人身体,情感或社会需求,或者为他们提供控制权。支持工作者在帮助妇女驾驭和理解她们的产妇护理方面发挥着至关重要的作用。
结论:尽管发现了问题,我们的研究强调了个性化护理的积极影响,特别是当女性接受连续性护理时。联合起来,助产士和支持工作者之间的创伤知情方法可以帮助改善对被贩运妇女的护理。
OBJECTIVE: Little is known about the maternity experiences of women who have been trafficked and further investigation is needed to better inform midwifery practice and to ensure that the voices of women are heard when developing guidance.
BACKGROUND: People who have been trafficked experience a range of health problems that could impact on pregnancy.
OBJECTIVE: The aim of this study was to explore the experiences of pregnancy and NHS maternity care for women who have been trafficked, as well as increasing understanding of social and health factors that may impact on pregnancy outcomes.
METHODS: A qualitative interview study was conducted. Participants (professionals and service users) were recruited using purposive sampling. Data were analysed using thematic analysis.
RESULTS: Seventeen interviews were conducted (5 service users and 12 professionals). Five themes were identified: \'One Size Fits All\', \'Loss of Control\', \'Social Complexity\', \'Bridging Gaps\', and \'Emotional Load\'.
CONCLUSIONS: Our findings identify that women are expected to fit into a standardised model of maternity care that does not always recognise their complex individual physical, emotional or social needs, or provide them with control. Support workers play a vital role in helping women navigate and make sense of their maternity care.
CONCLUSIONS: Despite the issues identified, our research highlighted the positive impact of individualised care, particularly when women received continuity of care. A joined-up, trauma-informed approach between midwives and support workers could help improve care for women who have been trafficked.