剖宫产术后再次妊娠孕妇阴道试产动机的质性研究

A qualitative study on motives of a vaginal birth plan in expectant women with a prior cesarean delivery

目的深入了解剖宫产术后再次妊娠孕妇选择阴道试产的动机,为制定促进该人群选择阴道试产提供参考。方法采用质性研究中的现象学研究方法,对14名剖宫产术后再次妊娠拟行阴道试产的孕妇进行深度访谈。结果提炼出6个主题:医生建议行阴道试产,知晓剖宫产术后阴道试产知识,自身与朋友的阴道分娩经历,剖宫产的不良体验,避免再次手术和有再次妊娠的计划。结论医护人员应了解孕妇选择阴道分娩的动机,实施针对性干预策略促进符合阴道试产条件的孕妇选择阴道分娩,避免盲目选择再次剖宫产。

Objective To describe the motives of a vaginal birth plan in women with a prior cesarean delivery,and to provide references for developing strategies for women planning vaginal birth after cesarean delivery.Methods Using the phenomenological method,14 expectant mothers who had planned vaginal delivery after cesarean section were interviewed.Results Six themes were extracted to describe the women′s motives: doctor′s advice of trial of vaginal birth; self and friend′s previous vaginal delivery experience; bad experience from prior cesarean delivery; avoidance of a second surgery and a plan to get pregnant again.Conclusion Medical staff should probe into the motives of a vaginal birth plan in expectant women with a prior cesarean delivery,take targeted measures to select those indicated for vaginal birth,and avoid mindless selective cesarean section.