伴伴全麻下第一类剖宫产的母亲经验：一项前瞻性探索性研究

IF 2.6 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia Pub Date : 2025-05-26 DOI:10.1016/j.ijoa.2025.104693

H.K. Nedergaard , E.E. Weitling , H.I. Jensen , A.C. Brøchner

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引用次数: 0

摘要

背景：当母亲和/或婴儿的生命受到直接威胁时，进行1类剖腹产（CD），在丹麦，预期的决定至分娩间隔基准最长为15分钟。为了节省时间，通常在全身麻醉下进行第一类CD。传统上，伴侣在手术室外等待，但从2021年开始，我们中心的伴侣会跟随母亲进入手术室，并在整个手术过程中留下。我们之前发现，伴侣更喜欢陪伴母亲，而不是在外面等着。这项研究的目的是调查母亲在伴侣在场的情况下如何经历第一类乳糜泻。方法采用单中心定性研究，纳入18个月内患有1类CD的母亲。半结构化的电话访谈在CD三个月后进行，包括创伤后应激筛查。访谈内容逐字记录，并采用清单内容分析进行分析。结果共发生1类CD 22例。所有的母亲都同意参加。所有婴儿都存活了下来。关于母亲经历的确定主题是：错过阴道分娩和与孩子在一起的第一刻的悲伤；感觉在好的人手里；无论是在紧急情况中，还是在事后的心理恢复过程中，伙伴的存在都提供了支持。没有母亲有创伤后应激障碍。结论：母亲们会因为错过了孩子而感到悲伤，而伴侣的出现则会给她们带来安慰和帮助。工作人员表现出冷静和专业的态度，帮助母亲们应对紧急情况。没有母亲出现创伤后压力。

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Mothers’ experiences of category 1 caesarean delivery under general anaesthesia with the partner present: a prospective explorative study

Background

A category 1 caesarean delivery (CD) is performed when there is an immediate threat to the life of mother and/or infant, with an expected decision-to-delivery interval benchmarked to be maximum 15 minutes in Denmark. Often category 1 CD are performed under general anaesthesia to save time. The partner traditionally waits outside the operating room, but since 2021 partners in our center follow the mother into the operating room and stay throughout the entire procedure. We previously found that partners much preferred accompanying the mother to waiting outside. The aim of this study was to investigate how mothers experience category 1 CD with their partner present.

Methods

Qualitative single-center study, involving mothers having category 1 CD over a period of 18 months. Semi-structured telephone interviews were conducted three months after the CD, including a screening for posttraumatic stress. Interviews were transcribed verbatim and analysed with manifest content analysis.

Results

In total, 22 category 1 CD occurred. All mothers agreed to participate. All infants survived. The identified themes regarding the mothers’ experiences were: sorrow over having missed out on vaginal birth and on the first moments with the child; feeling in good hands; partners’ presence provided support, both in the emergency situation and during the psychological recovery process afterwards. No mothers had post-traumatic stress.

Conclusions

The mothers felt sorrow over having missed out, however the partners’ presence provided comfort and was helpful afterwards. Staff acting calm and professional helped the mothers cope in the emergency situation. No mothers developed post-traumatic stress.

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来源期刊

International journal of obstetric anesthesia 医学-妇产科学

CiteScore

4.70

自引率

7.10%

发文量

285

审稿时长

58 days

期刊介绍： The International Journal of Obstetric Anesthesia is the only journal publishing original articles devoted exclusively to obstetric anesthesia and bringing together all three of its principal components; anesthesia care for operative delivery and the perioperative period, pain relief in labour and care of the critically ill obstetric patient. • Original research (both clinical and laboratory), short reports and case reports will be considered. • The journal also publishes invited review articles and debates on topical and controversial subjects in the area of obstetric anesthesia. • Articles on related topics such as perinatal physiology and pharmacology and all subjects of importance to obstetric anaesthetists/anesthesiologists are also welcome. The journal is peer-reviewed by international experts. Scholarship is stressed to include the focus on discovery, application of knowledge across fields, and informing the medical community. Through the peer-review process, we hope to attest to the quality of scholarships and guide the Journal to extend and transform knowledge in this important and expanding area.