门诊和住院妇女口服米索前列醇引产的经验和看法:一项二次定性研究。

IF 1.5 Q3 NURSING
European Journal of Midwifery Pub Date : 2023-11-17 eCollection Date: 2023-01-01 DOI:10.18332/ejm/172651
Hanne A Hægeland, Marianne G Moi, Fride E Austad, Hanna Oommen, Janne Rossen, Mirjam Lukasse
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引用次数: 0

摘要

导言:随着引产率的持续增加,在门诊设置的低风险妊娠引产的兴趣也在增加。20名妇女参加了一项比较住院和门诊引产与口服米索前列醇的随机对照试验(RCT)的试点研究。本研究旨在探讨妇女门诊引产的经验,以及她们对门诊引产作为住院引产的替代方法的看法。方法:于2021年11月至2022年1月进行半结构化访谈,随机选择8名女性进行门诊诱导,4名女性随机选择住院诱导。使用Graneheim和Lundman的内容分析对逐字记录的访谈进行分析。结果:出现了三个主要类别:门诊引产所需的框架,在家感觉更好的以及在医院感觉更安全的。为了在家中感到安全,妇女需要充分的信息,在家时的密切随访,以及易于管理的诱导方法。门诊引产使妇女有机会得到伴侣的持续支持,并增加了行动和自我表达的自由。一些人对被随机分配到住院引产感到欣慰,因为很容易获得保健提供者,胎儿监测,并且在到达医院之前没有分娩的风险。妇女们强调被给予选择的重要性。结论:门诊引产有助于积极的分娩体验,应考虑作为低风险妊娠妇女的一种选择。共同决策,包括妇女改变主意的机会,是必不可少的,因为引产和早期分娩影响到妇女的整个分娩经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women's experiences and views of outpatient and inpatient induction of labor with oral misoprostol: A secondary qualitative study.

Introduction: As labor induction rates continue to increase, so has the interest in performing induction in an outpatient setting for pregnancies defined as low-risk. Twenty women participated in the pilot study of a Randomized Controlled Trial (RCT) comparing inpatient and outpatient labor induction with oral misoprostol. This study aimed to explore women's experiences of outpatient induction of labor and their views on this as an alternative method to inpatient labor induction.

Methods: Semi-structured interviews were conducted, from November 2021 to January 2022 with eight women randomized to outpatient induction and four women randomized to inpatient induction. Verbatim transcribed interviews were analyzed using Graneheim and Lundman's content analysis.

Results: Three main categories emerged: the required framework around outpatient labor induction, what felt better at home and what felt safer at the hospital. To feel secure at home, women needed sufficient information, close follow-up while at home, and an easy-to-administer induction method. Outpatient labor induction gave women the opportunity of constant support from the partner and increased freedom of movement and self-expression. Some expressed relief over being randomized to inpatient labor induction, because of easy access to health providers, fetal monitoring, and not risking giving birth before arrival to the hospital. Women stressed the importance of being given a choice.

Conclusions: Outpatient labor induction contributed to a positive birth experience and should be considered as an alternative for women with low-risk pregnancies. Shared decision-making, including the opportunity for women to change their mind, is essential as induction and early labor affects women's whole childbirth experience.

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来源期刊
European Journal of Midwifery
European Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
2.20
自引率
15.80%
发文量
65
审稿时长
16 weeks
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