埃塞俄比亚南部医院引产后分娩母亲的生活经验:现象学研究。

IF 3.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Adanech Abebe, Temesgen Nane Setato, Fithamlak Solomon Bisetegn, Samson Kastro Dake, Debritu Nane
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引用次数: 0

摘要

背景:人工引产(IOL)是一种用于人工引产的医学干预措施,已成为现代产科改善孕产妇和新生儿结局的最常见手术之一。虽然广泛的研究集中在引产的方法和结果上,但关于IOL后母亲的生活经历的证据有限,特别是在埃塞俄比亚的情况下。目的:探讨2024年埃塞俄比亚南部Wolaita Sodo综合专科医院引产后产妇的生活体验。方法:采用定性描述现象学方法,于2023年9 - 11月在沃莱塔索多综合专科医院进行研究。本研究采用半结构式问卷对12位产后母亲进行深度访谈。采访录音,逐字抄录,翻译成英文,并附有实地记录。使用Braun和Clarke的六阶段方法对数据进行主题分析,并由Open Code Software Version 4.02提供支持。通过应用Guba的标准:可信性、可转移性、可靠性和可确认性来确保可信性。结果:(1)对人工晶状体的情绪反应;(2)对人工晶状体的处理和获得的支持;(3)诱导过程中遇到的挑战;(4)人工晶状体对母亲的感知影响。参与者报告了强烈的负面情绪,如疼痛、恐惧、焦虑和痛苦。这些感觉被系统性的挑战所加剧,包括过度拥挤的病房,缺乏隐私,以及劳动病房不适当的环境条件。结论与建议:产妇在引产过程中既有积极情绪,也有消极情绪。产房的压力环境和引产过程对他们的情绪健康有负面影响。为了改善孕产妇保健结果,必须促进医疗保健提供者和母亲之间的有效沟通,并解决医院环境中的环境挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The lived experience of mothers who give birth after induction of labour in hospital settings in Southern Ethiopia: a phenomenological study.

Background: Induction of labor (IOL) is a medical intervention used to initiate labor artificially and has become one of the most common procedures in modern obstetrics to improve maternal and neonatal outcomes. While extensive research has focused on the methods and outcomes of labor induction, limited evidence exists regarding mothers' lived experiences following IOL, particularly in the Ethiopian context.

Objective: To explore the lived experience of mothers who give birth after induction of labor at Wolaita Sodo Comprehensive Specialized Hospital, Southern Ethiopia, 2024.

Methods: A qualitative descriptive phenomenological study was conducted at Wolaita Sodo Comprehensive and Specialized Hospital between September and November 2023. Twelve postpartum mothers were purposively selected for in-depth interviews using a semi-structured guide. Interviews were audio-recorded, transcribed verbatim, translated into English, and supplemented with field notes. Data were analyzed thematically using Braun and Clarke's six-phase method, supported by Open Code Software Version 4.02. Trustworthiness was ensured through the application of Guba's criteria: credibility, transferability, dependability, and confirmability.

Result: Four main themes emerged: (1) emotional responses to IOL, (2) coping with IOL and support received, (3) challenges encountered during the induction process, and (4) perceived effects of IOL on the mother. Participants reported intense negative emotions such as pain, fear, anxiety, and distress. These feelings were exacerbated by systemic challenges, including overcrowded wards, lack of privacy, and inadequate environmental conditions in the labor ward.

Conclusion and recommendation: Mothers undergoing labor induction experience both positive and negative emotions. The stressful environment of the labor ward and the induction process negatively affect their emotional well-being. To improve maternal care outcomes, it is essential to foster effective communication between healthcare providers and mothers and to address the environmental challenges within the hospital setting.

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来源期刊
Reproductive Health
Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.00
自引率
5.90%
发文量
220
审稿时长
>12 weeks
期刊介绍: Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.
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