Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into ...Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into in-depth interviews,21 birth companions,and 13 health workers into focus group discussions.Participants were recruited from two community hospitals'maternity waiting homes in Lilongwe,Malawi.Semi-structured interview guides were used to collect data that were analyzed using content analysis.NVivo11 computer software was used to organize the data.Results:The four categories developed were:"ambivalent pregnancy feelings","dependence on traditional childbirth counseling","inadequate prenatal childbirth instruction"and"inconsistent roles of a birth companion".The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers,experienced childbirth fear,and lacked proper psychosocial childbirth preparation.Conclusions:Childbirth fear among primigravid women emanate from personal;family;ineffective traditional counseling;and inadequate antenatal childbirth instruction.Birth companions may increase childbirth stress.However,our findings highlight birth companions as readily available psychosocial support resources among primigravid women.We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling.Appropriateness and effectiveness of birth companions need to be carefully assessed.展开更多
目的系统评价与整合女性分娩恐惧真实体验的质性研究,为促进自然分娩、改善临床护理服务质量提供参考。方法计算机检索PubMed、Medline、Embase、Web of Science、PsycINFO、SinoMed、中国知网、维普和万方数据库,收集从建库至2018年8...目的系统评价与整合女性分娩恐惧真实体验的质性研究,为促进自然分娩、改善临床护理服务质量提供参考。方法计算机检索PubMed、Medline、Embase、Web of Science、PsycINFO、SinoMed、中国知网、维普和万方数据库,收集从建库至2018年8月女性分娩恐惧真实体验的质性研究文献。根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行评价,并进行Meta整合分析。结果共纳入18项研究,提炼出87个研究结果,归纳为6个新类别,并进一步整合2个结果。结果1:孕产妇充满担忧和恐惧心理,但他人却无法理解,这让她们感到孤独,只能独自在矛盾中挣扎。结果2:因对分娩的感受不同,女性采取积极或消极的方式应对分娩恐惧,并渴望得到外界的支持与帮助。结论社会与医疗卫生机构应重视分娩恐惧对女性的影响,并给予充分的理解与支持,帮助孕产妇克服分娩恐惧,促进自然分娩,进而促进产妇身心健康。展开更多
目的探讨生育舞蹈在孕晚期产妇中的应用效果。方法选取2018年6月~2019年6月我院收治的50例孕晚期产妇作为研究对象,按随机数字表法将其分为试验组和对照组,各25例。对照组采用常规孕产期保健干预,试验组在对照组的基础上使用生育舞蹈干...目的探讨生育舞蹈在孕晚期产妇中的应用效果。方法选取2018年6月~2019年6月我院收治的50例孕晚期产妇作为研究对象,按随机数字表法将其分为试验组和对照组,各25例。对照组采用常规孕产期保健干预,试验组在对照组的基础上使用生育舞蹈干预。干预后,比较两组产妇分娩恐惧得分、各产程、妊娠结局及新生儿结局。结果试验组干预后对疼痛伤害的恐惧、对孩子健康的恐惧、对失去控制的恐惧、对医院干预和环境的恐惧评分低于对照组,差异均有统计学意义(P<0.05);第一产程、第二产程、第三产程及总产程短于对照组,差异均有统计学意义(P<0.05);剖宫产率低于对照组,1 min Apgar评分>7分比例高于对照组,差异均有统计学意义(P<0.05);两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论生育舞蹈应用于孕晚期及产时效果佳,能有效降低产妇分娩恐惧,缩短各产程时间,降低剖宫产率,改善新生儿结局和妊娠结局。展开更多
文摘Objectives:This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation.Methods:We purposively recruited 18 primigravid women into in-depth interviews,21 birth companions,and 13 health workers into focus group discussions.Participants were recruited from two community hospitals'maternity waiting homes in Lilongwe,Malawi.Semi-structured interview guides were used to collect data that were analyzed using content analysis.NVivo11 computer software was used to organize the data.Results:The four categories developed were:"ambivalent pregnancy feelings","dependence on traditional childbirth counseling","inadequate prenatal childbirth instruction"and"inconsistent roles of a birth companion".The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers,experienced childbirth fear,and lacked proper psychosocial childbirth preparation.Conclusions:Childbirth fear among primigravid women emanate from personal;family;ineffective traditional counseling;and inadequate antenatal childbirth instruction.Birth companions may increase childbirth stress.However,our findings highlight birth companions as readily available psychosocial support resources among primigravid women.We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling.Appropriateness and effectiveness of birth companions need to be carefully assessed.
文摘目的系统评价与整合女性分娩恐惧真实体验的质性研究,为促进自然分娩、改善临床护理服务质量提供参考。方法计算机检索PubMed、Medline、Embase、Web of Science、PsycINFO、SinoMed、中国知网、维普和万方数据库,收集从建库至2018年8月女性分娩恐惧真实体验的质性研究文献。根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行评价,并进行Meta整合分析。结果共纳入18项研究,提炼出87个研究结果,归纳为6个新类别,并进一步整合2个结果。结果1:孕产妇充满担忧和恐惧心理,但他人却无法理解,这让她们感到孤独,只能独自在矛盾中挣扎。结果2:因对分娩的感受不同,女性采取积极或消极的方式应对分娩恐惧,并渴望得到外界的支持与帮助。结论社会与医疗卫生机构应重视分娩恐惧对女性的影响,并给予充分的理解与支持,帮助孕产妇克服分娩恐惧,促进自然分娩,进而促进产妇身心健康。
文摘目的探讨生育舞蹈在孕晚期产妇中的应用效果。方法选取2018年6月~2019年6月我院收治的50例孕晚期产妇作为研究对象,按随机数字表法将其分为试验组和对照组,各25例。对照组采用常规孕产期保健干预,试验组在对照组的基础上使用生育舞蹈干预。干预后,比较两组产妇分娩恐惧得分、各产程、妊娠结局及新生儿结局。结果试验组干预后对疼痛伤害的恐惧、对孩子健康的恐惧、对失去控制的恐惧、对医院干预和环境的恐惧评分低于对照组,差异均有统计学意义(P<0.05);第一产程、第二产程、第三产程及总产程短于对照组,差异均有统计学意义(P<0.05);剖宫产率低于对照组,1 min Apgar评分>7分比例高于对照组,差异均有统计学意义(P<0.05);两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论生育舞蹈应用于孕晚期及产时效果佳,能有效降低产妇分娩恐惧,缩短各产程时间,降低剖宫产率,改善新生儿结局和妊娠结局。
