目标:描述第一次父母对分娩和分娩的期望,在怀孕的第三个三个月探索,在出生后1年进行调查时是否满足。
方法:定性胡塞尔现象学方法。
方法:样本包括10对父母(5对夫妇),谁参加了一个在线半结构化录音个人采访进行出生后1年,2020年9月至2020年10月。父母对分娩和分娩的期望,在关于怀孕的焦点小组讨论中描述,将其与出生后1年探索的经验进行比较。采用主题分析,并使用成员检查来验证参与者的想法。
结果:参与者在II级产妇单元分娩,并提供一对一的助产护理。虽然在怀孕期间进行的焦点小组,据报道,妇女意识到分娩的不可预测性质,在经历了一些意想不到的干预后,他们表达了悲伤和失败。助产士是一个让人放心的向导,如预期的那样;然而,有时,沟通并不有效,女性感到缺乏支持。一些妇女部分归咎于自己不准备管理分娩疼痛,伤害超过预期。在分娩早期寻求护理时,经历了对事件的不确定性,这证实了怀孕期间表达的恐惧。在产前焦点小组讨论期间,父亲们怀疑他们对劳动妇女有帮助。这种负面情绪在出生后得到证实。然而,他们理解存在和支持伴侣的重要性。
结论:出生后一年,参与者对他们的出生经历有一致的记忆.专业人士可能会确定对父母有意义的优质产妇护理的基本组成部分,有可能对他们产生长期积极的健康影响。应通过以家庭为中心的方法确保对产妇的尊重,目的是提高满意度。
该研究强调了在提供产前护理时考虑父母期望的重要性,以定制满足他们不同需求和偏好的个性化支持。医疗保健专业人员可能会考虑与父母进行产后讨论,以评估他们的需求和观点是否得到解决。这种观点可能会提供有价值的见解,以实现长期的积极成果,提供高质量的产妇护理,解决问题并进行改进。
结论:研究表明,出生后1年,父母可以准确地回忆起他们的出生。他们还可能对护理的基本组成部分提供重要见解,他们认为这对于塑造积极的分娩体验至关重要。专业人士应该使用这些信息来构建解决方案,促进父母的长期福祉。尊重的互动和信任的关系成为父母体验中的关键要素。关注父母需求的助产护理可能有助于实现积极的出生记忆。
■本研究使用了定性研究检查表报告标准。
■没有患者或公众捐款。
OBJECTIVE: To describe if first-time parents\' expectations of labour and birth, explored during the third trimester of pregnancy, were fulfilled or not when investigated 1 year following birth.
METHODS: Qualitative Husserlian phenomenological approach.
METHODS: The sample comprises 10 parents (five couples), who participated in an online semi-structured audio-recorded individual interview conducted 1 year after birth, between September 2020 and October 2020. Parents\' expectations of labour and birth, described throughout a focus group discussion on pregnancy, were compared with their experience explored 1 year after birth. A thematic analysis was adopted and member checking was used to validate participants\' thoughts.
RESULTS: Participants gave birth in a II level maternity unit and one-to-one midwifery care was provided. Although during the focus group conducted in pregnancy, women reported being aware of the unpredictable nature of childbirth, they expressed sadness and failure after experiencing some unexpected interventions. The midwife was a reassuring guide, as expected; however, sometimes, the communication was not effective, and women perceived lack of support. Some women partly blame themselves for not being prepared to manage labour pain, which hurt more than expected. Feeling of uncertainty about events were experienced in relation to seeking care at an early stage of labour, which confirmed the fears expressed during pregnancy. During the antenatal focus group discussion, fathers doubted they could be helpful for the labouring women. This negative emotion was confirmed after birth. However, they understood the importance to be present and to support their partner.
CONCLUSIONS: One year after birth, participants had consistent memories of their birth experience. Professionals might identify fundamental components of quality maternity care that are meaningful for parents, with the potential to generate a long-term positive health impact on them. Respectful maternity care should be ensured through a family-centred approach, with the aim to promote satisfaction.
UNASSIGNED: The study highlights the importance of taking parents\' expectations into account when providing antenatal care to tailor individualized support that addresses their distinct needs and preferences. Healthcare professionals might consider initiating a post-natal discussion with parents to assess whether their needs and perspectives have been addressed. This perspective may present valuable insights to achieve long-term positive outcomes, provide high-quality maternity care, address issues and make improvements.
CONCLUSIONS: The study showed that 1 year after birth, parents can accurately recall their birth. They might also give significant insights into fundamental components of care that they value as crucial to shape a positive birthing experience. Professionals should use this information to build solutions, promoting long-term well-being for parents. Respectful interactions and trusting relationships emerged as key elements in parents\' experience. A midwifery care focused on parents\' needs may contribute to the achievement of positive birth memories.
UNASSIGNED: This study used the Standards for Reporting Qualitative Research checklist.
UNASSIGNED: No patient or public contribution.