印度尼西亚尊重产妇护理：多中心研究方法的因素分析

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-08 DOI:10.1016/j.midw.2025.104442

Sofia Al Farizi , Endyka Erye Frety , Dewi Setyowati , Alifina Izza , Azra Fauziyah Azyanti , Dyah Ayu Fatmaningrum , Devi Arine Kusumawardani

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引用次数: 0

摘要

恭敬的产妇护理（RMC）是一个涉及到生育的伦理，心理和文化方面的国际利益。印尼还没有完全实现这一点，女性仍然没有控制自己身体的权力。分娩期间的医疗干预也占主导地位，如剖宫产和阴道分娩时的会阴造口术。本研究旨在分析转诊医院RMC及其影响因素。方法采用基于多中心机构的横断面研究设计。本研究的人群是妊娠中期晚期（26-27周）和妊娠晚期早期（28-30周）的孕妇，她们在本研究的其中一家转诊医院检查了自己的妊娠，采用简单的随机抽样技术选择。分析采用线性回归方法确定影响变量（p≤0.05）。显著性检验采用多元线性回归分析。结果影响RMC评分的因素有分娩方式、产程延长、产后出血、阴道复查、会阴造口、分娩体位选择等6个因素。这6个因素对RMC的影响功率为44.1%。结论医疗干预（剖宫产、会阴造口术）和过度侵入性措施（反复阴道检查）对RMC评分有负面影响。这应该是印度尼西亚促进以妇女为中心的护理，保护妇女对自己身体的权利的一个反映。因此，患有产后出血和长时间分娩等并发症的妇女仍然可以有良好的分娩体验。

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Respectful maternity care in Indonesia: A factor analysis with a multicenter study approach

Background

Respectful Maternity Care (RMC) is an international interest that relates to the ethical, psychological and cultural aspects of childbirth. Indonesia has not fully implemented this, women still do not have the power over their own bodies. Medical interventions during childbirth also dominate, such as cesarean birth and episiostomy in vaginal birth. This study aims to analyse RMC and the factors that influence it in referral hospitals.

Methods

A multi-centre institution-based cross-sectional study design. The population of this study were late second trimester (26–27 weeks) and early third trimester (28–30 weeks) pregnant women who checked their pregnancy at one of the referral hospitals in this study, which were selected using a simple random sampling technique. Analysis used a linear regression approach to determine the influential variables (p ≤ 0.05). Significance testing used multiple linear regression analysis.

Results

There were 6 variables that influenced the RMC score, including method of childbirth, prolonged labour, postpartum hemorrhage (PPH), repeated vaginal examination, episiostomy and choice of childbirth position. These six factors had an influence power on RMC of 44.1 %.

Conclusions

Medical interventions (cesarean delivery, episiostomy) and excessive invasive measures (repeated vaginal examination) negatively affect RMC scores. This should be a reflection for Indonesia to promote women-centered care that protects women's rights to their bodies. Thus, women who suffer from complications such as postpartum hemorrhage and prolonged labour can still have a good birth experience.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.