When choice becomes limited: Women’s experiences of delay in labour

N. Armstrong, S. Kenyon
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引用次数: 10

Abstract

Choice and patient involvement in decision-making are strong aspirations of contemporary healthcare. One of the most striking areas in which this is played out is maternity care where recent policy has focused on choice and supporting normal birth. However, birth is sometimes not straightforward and unanticipated complications can rapidly reduce choice. We draw on the accounts of women who experienced delay during labour with their first child. This occurs when progress is slow, and syntocinon is administered to strengthen and regulate contractions. Once delay has been recognized, the clinical circumstances limit choice. Drawing on Mol’s work on the logics of choice and care, we explore how, although often upsetting, women accepted that their choices and plans were no longer feasible. The majority were happy to defer to professionals who they regarded as having the necessary technical expertise, while some adopted a more traditional medical model and actively rejected involvement in decision-making altogether. Only a minority wanted to continue active involvement in decision-making, although the extent to which the possibility existed for them to do so was questionable. Women appeared to accept that their ideals of choice and involvement had to be abandoned, and that clinical circumstances legitimately changed events.
当选择变得有限时:妇女延迟分娩的经历
选择和患者参与决策是当代医疗保健的强烈愿望。这方面最引人注目的领域之一是产妇保健,最近的政策侧重于选择和支持正常分娩。然而,分娩有时并不简单,意想不到的并发症会迅速减少选择。我们借鉴了那些经历过第一个孩子分娩延迟的妇女的叙述。这种情况发生在进展缓慢时,使用syntocinon来加强和调节收缩。一旦发现延迟,临床环境限制了选择。根据摩尔关于选择和照顾的逻辑的研究,我们探讨了女性是如何接受她们的选择和计划不再可行的,尽管这常常令人沮丧。大多数人乐于听从他们认为具有必要技术专长的专业人员的意见,而有些人则采用更传统的医疗模式,并积极拒绝完全参与决策。只有少数人希望继续积极参与决策,尽管他们这样做的可能性有多大是值得怀疑的。女性似乎接受了她们的选择和参与的理想必须被放弃,并且临床情况合法地改变了事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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