Sexual & Reproductive Healthcare最新文献_第6页

Safeguarding sexual and reproductive health care in an era of democratic decline and academic suppression 在民主衰落和学术压制的时代保障性健康和生殖健康。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-09-01 DOI: 10.1016/j.srhc.2025.101117

Malin Bogren , Kerstin Erlandsson

引用次数: 0

Combining the antenatal risk questionnaire and the Edinburgh Postnatal depression scale as a psychosocial risk assessment tool in Danish antenatal care. A descriptive study 结合产前风险问卷和爱丁堡产后抑郁量表作为心理社会风险评估工具在丹麦产前护理。描述性研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-26 DOI: 10.1016/j.srhc.2025.101141

Lotte Broberg , Katrine Røhder , Jane Marie Bendix , Ellen Løkkegaard , Mette Væver , Helle Johnsen , Mette Juhl , Vibeke de Lichtenberg , Michaela Schiøtz

Objectives

To evaluate the Antenatal Risk Questionnaire (ANRQ) and the Edinburgh Postnatal Depression Scale (EPDS) as part of an integrated psychosocial risk assessment aiming to enhance triage for pregnant women needing extended care. Further, to examine differences in sociodemographic and psychosocial characteristics of the population.

Methods

This descriptive study was conducted at Department of Gynecology and Obstetrics, Copenhagen University Hospital – North Zealand, Denmark.

Participants

Pregnant women at antenatal care level 1 or 2 at the North Zealand Hospital were invited to the study at their first-trimester ultrasound scan. The participants received an online questionnaire consisting of the ANRQ and the EPDS in gestational weeks 12–14, followed by an online questionnaire in 37–38 weeks of gestation, which included items related to sociodemographic characteristics and maternal mental health.

Results

N = 774 pregnant women were invited to participate, of whom 424 (55 %) answered the ANRQ/EPDS questionnaire. Among them, n = 88 (21 %) had an ANRQ score ≥ 23, and n = 60 (14 %) scored ≥ 11 on the EPDS. A total of 17 (4 %) women were referred to extended care. Women with low scores on the ANRQ and the EPDS (ANRQ < 23, EPDS < 11) were more often highly educated. A history of mental problems was more strongly associated with a high ANRQ than a high EPDS.

Conclusion

We identified women at increased risk of mental health problems who were not identified by the current triage process. Combining ANRQ and EPDS assessment may be an important part of a model for early identification of pregnant women with special needs.

目的评价产前风险问卷（ANRQ）和爱丁堡产后抑郁量表（EPDS）作为综合心理社会风险评估的一部分，旨在加强对需要延长护理的孕妇的分诊。进一步，检查人口的社会人口学和心理社会特征的差异。方法本描述性研究在丹麦哥本哈根大学医院妇产科进行。在新西兰医院接受1级或2级产前护理的孕妇在妊娠早期进行超声波扫描时被邀请参加这项研究。参与者在妊娠12-14周收到一份由ANRQ和EPDS组成的在线问卷，随后在妊娠37-38周收到一份在线问卷，其中包括与社会人口统计学特征和孕产妇心理健康相关的项目。结果共邀请774名孕妇参与调查，其中424人（55%）回答了ANRQ/EPDS问卷。其中，ANRQ评分≥23的有88例（21%），EPDS评分≥11的有60例（14%）。共有17名（4%）妇女被转介到延长护理。在ANRQ和EPDS （ANRQ < 23, EPDS < 11）上得分较低的女性往往受过高等教育。精神病史与高ANRQ的关系比与高EPDS的关系更强。结论：我们发现了在目前的分诊过程中未发现的精神健康问题风险增加的妇女。结合ANRQ和EPDS评估可能是早期识别有特殊需要孕妇模型的重要组成部分。

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引用次数: 0

Midwives’ experiences with telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist 在语言障碍存在的情况下，助产士在挪威劳工病房入院前为移民妇女进行电话分诊的经验

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-19 DOI: 10.1016/j.srhc.2025.101139

Erica Schytt, Caroline Brandal , Marit Bjørdalsbakke Skaar , Eline Skirnisdottir Vik, Vigdis Aasheim

Background

Telephone triage by a hospital midwife is important for ensuring safe assessments and providing appropriate advice prior to women’s admission to the labour ward. Weather this aspect of labour care functions well for migrant women when language barriers exist remains unknown. The aim was to explore midwives’ experiences of telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist.

Methods

Semi-structured individual interviews with eight midwives from five different hospitals in Norway. The manifest and latent content of transcribed text was analysed using inductive qualitative content analysis according to Graneheim and Lundman (2004).

Results

Midwives experience with telephone triage for migrant women prior to admission to the labour ward was summarized in one overarching theme: When communication fails, midwives go beyond ordinary procedures and established routines to ensure safety for women and infants. The following categories were identified: Barriers to communication and safe assessments exist – Addressable through technical and supportive measures; Midwives turn to other sources of information when verbal communication with the woman is unsuccessful; Language barriers over the phone creates feelings of uncertainty for midwives, and Lack of information triggers time- and resource-demanding responses.

Conclusion

With enhanced communication tools for triage prior to admission to the labour ward, midwives would feel more confident in their assessments, women’s needs would be addressed more efficiently, and resources could be used more effectively. The development and evaluation of such tools is urgently needed.

背景：医院助产士的电话分诊对于确保在妇女进入产房之前进行安全评估和提供适当建议非常重要。在存在语言障碍的情况下，这方面的劳动护理是否能很好地为移徙妇女服务仍不得而知。目的是探索助产士在移民妇女进入挪威劳动病房之前的电话分诊经验，当时存在语言障碍。方法对来自挪威5家不同医院的8名助产士进行半结构化的个人访谈。Graneheim and Lundman（2004）采用归纳定性内容分析法对转录文本的显性和隐性内容进行分析。结果助产士在进入产房前对流动妇女进行电话分诊的经验总结为一个总体主题：当沟通失败时，助产士超越普通程序和既定程序，以确保妇女和婴儿的安全。确定了以下类别：存在沟通和安全评估障碍-可通过技术和支助措施加以解决；当与产妇的口头沟通不成功时，助产士会转向其他信息来源；电话中的语言障碍给助产士带来了不确定感，信息的缺乏引发了需要时间和资源的反应。结论加强产房入院前分诊的沟通工具，可以使助产士对自己的评估更有信心，更有效地满足妇女的需求，更有效地利用资源。迫切需要开发和评价这些工具。

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引用次数: 0

Updating the European Union’s Midwifery Directive advance women’s sexual and reproductive health in the future and reinforce professional standard within the midwifery profession 更新欧洲联盟的《助产指令》，促进妇女今后的性健康和生殖健康，并加强助产专业的专业标准

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-16 DOI: 10.1016/j.srhc.2025.101138

L. Brigante , D. Drandic , R.D. Maimburg

The ongoing revision of the European Directive on Professional Qualifications for midwives presents a once in a generational opportunity to bring its outdated standards into alignment with contemporary evidence and international frameworks.

This short communication outlines key limitations in the current directive and its revision process, and proposes pragmatic, forward-looking updates informed by existing consensus and aligned with the International Confederation of Midwives (ICM) Essential Competencies for Midwifery Practice. The revision holds the potential to strengthen professional mobility, support high-quality care across European Union (EU) and European Economic Area (EEA) countries as well as globally. Moreover, to ensure that midwifery education continues to meet the sexual and reproductive health care needs of women and their families in the future.

正在进行的关于助产士专业资格的欧洲指令的修订提供了一个千载难逢的机会，使其过时的标准与当代证据和国际框架保持一致。这份简短的沟通概述了当前指令及其修订过程中的主要局限性，并根据现有共识提出了务实、前瞻性的更新建议，并与国际助产士联合会（ICM）助产实践基本能力保持一致。此次修订有望加强专业人员的流动性，支持欧盟和欧洲经济区国家乃至全球的高质量医疗服务。此外，确保助产教育今后继续满足妇女及其家庭的性保健和生殖保健需要。

引用次数: 0

Postpartum post-traumatic stress symptoms and mother-infant bonding: A population-based cross-sectional study 产后创伤后应激症状与母婴关系：一项基于人群的横断面研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-16 DOI: 10.1016/j.srhc.2025.101140

Valgerður Lísa Sigurðardóttir , Guðrún Anna Hákonardóttir , Stefanía Birna Arnardóttir , Linda Bára Lýðsdóttir , Emma Marie Swift

Objective

Postpartum post-traumatic stress symptoms are associated with negative outcomes for women’s mental health and may disrupt the development of the mother–infant bond. However, previous research has reported inconsistent findings. The aim was to examine the predictive role of postpartum post-traumatic stress symptoms on mother–infant bonding 6 to 12 weeks after birth in a population-based sample.

Method

This population-based cross-sectional study was conducted in 2022 and included 598 women 6 to 12 weeks postpartum. Postpartum post-traumatic stress symptoms were measured using the City Birth Trauma Scale, and mother–infant bonding was assessed with the Postpartum Bonding Questionnaire. Linear regression analysis was used to examine the association between post-traumatic stress symptoms and mother–infant bonding, adjusting for maternal age, parity, mode of birth, educational level, and depressive symptoms.

Results

The mean score on the City Birth Trauma Scale was 8.4, and 5.5 on the Postpartum Bonding Questionnaire. A total of 1.5 % of participants scored above the cut-off for significant bonding difficulties. Higher levels of postpartum post-traumatic stress symptoms were significantly associated with greater bonding difficulties (B = 0.380, p < 0.005). This association remained significant after adjustment for background variables and depressive symptoms (B = 0.113, p = 0.007). Primiparity, higher educational attainment, and depressive symptoms were also significantly associated with bonding difficulties (p < 0.05).

Conclusion

The findings suggest that postpartum post-traumatic stress symptoms negatively affect the development of the mother–infant bond. A targeted screening of post-traumatic stress symptoms and bonding difficulties is recommended, followed by appropriate support in postpartum care.

目的：产后创伤后应激症状与女性心理健康的负面结果相关，并可能破坏母婴关系的发展。然而，之前的研究报告的结果并不一致。目的是在以人群为基础的样本中，研究产后创伤后应激症状对出生后6至12周母婴关系的预测作用。方法这项基于人群的横断面研究于2022年进行，包括598名产后6至12周的妇女。采用城市分娩创伤量表测量产后创伤后应激症状，采用产后依恋问卷评估母婴依恋。在调整了母亲年龄、胎次、出生方式、教育程度和抑郁症状等因素后，采用线性回归分析检验创伤后应激症状与母婴关系之间的关系。结果城市分娩创伤量表的平均得分为8.4分，产后依恋问卷的平均得分为5.5分。总共有1.5%的参与者在明显的联系困难上得分高于临界值。较高水平的产后创伤后应激症状与更大的结合困难显著相关（B = 0.380, p < 0.005）。在调整背景变量和抑郁症状后，这种关联仍然显著（B = 0.113, p = 0.007）。初产、高等教育程度和抑郁症状也与结合困难显著相关（p < 0.05）。结论产后创伤后应激症状对母婴关系的发展有负向影响。建议有针对性地筛查创伤后应激症状和结合困难，然后在产后护理中提供适当的支持。

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引用次数: 0

Exploring symptom clusters across the menopausal stages – systematic review and meta-analysis 探索绝经期症状群-系统回顾和荟萃分析

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-12 DOI: 10.1016/j.srhc.2025.101137

Atika Khalaf , Rebecca Mathew , Shalini G Nayak

This study aimed to identify and compare symptom clusters and their severity among perimenopausal and postmenopausal women using a systematic literature review on publications from 1996 to 2023 across PubMed, Medline, Cochrane Library, and APA PsycINFO. The meta-analysis followed the PRISMA guideline, initially screening 425 articles, with 14 articles meeting the criteria of relevance, scientific rigor, and a focus on symptom clustering in climacteric women. Data from the 14 selected studies (n = 14,760) were extracted, including study characteristics, participant demographics, methods for identifying symptom clusters, specific symptoms within each cluster, and associations with lifestyle factors, genetics, or psychosocial elements. The findings were synthesized to quantify relationships between different symptom clusters, identifying four distinct groups: somatic, vasomotor, psychological, and sexual symptoms. The overall standardized mean difference (SMD) of −0.89 [95 % CI = −1.70, −0.07] was found for somatic symptom clusters, indicating significant differences. However, no conclusive distinctions were observed in vasomotor, sexual, and psychological symptoms, highlighting variability in symptom presentation. Despite this heterogeneity, the overall effect for somatic symptoms remained statistically significant (Z = 2.14, P = 0.03). The findings emphasize the complexity of symptomatology in climacteric women and underscore the need for tailored person-centered interventions and longitudinal studies.

本研究旨在通过对PubMed、Medline、Cochrane图书馆和APA PsycINFO从1996年到2023年的出版物进行系统文献综述，确定并比较围绝经期和绝经后妇女的症状群及其严重程度。meta分析遵循PRISMA指南，最初筛选425篇文章，其中14篇文章符合相关性、科学严谨性标准，并关注更年期妇女的症状聚类。从14项选定的研究（n = 14,760）中提取数据，包括研究特征、参与者人口统计、识别症状群的方法、每个群中的特定症状，以及与生活方式因素、遗传或社会心理因素的关联。综合研究结果，量化不同症状群之间的关系，确定四种不同的症状群：躯体症状、血管舒缩症状、心理症状和性症状。躯体症状群的总标准化平均差（SMD）为- 0.89 [95% CI = - 1.70, - 0.07]，表明差异具有统计学意义。然而，在血管舒缩、性和心理症状中没有观察到结论性的区别，这突出了症状表现的可变性。尽管存在异质性，但对躯体症状的总体影响仍具有统计学意义（Z = 2.14, P = 0.03）。研究结果强调了更年期妇女症状的复杂性，强调了量身定制的以人为中心的干预和纵向研究的必要性。

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引用次数: 0

Women’s experiences of post-abortion care services at health facilities in Somaliland – A qualitative study among women with incomplete abortion 索马里兰妇女在保健机构接受流产后护理服务的经历——对不完全流产妇女的定性研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-09 DOI: 10.1016/j.srhc.2025.101136

Umulkhayr Mohamed Ismail , Fatumo Osman , Marie Klingberg-Allvin , Jama Ali Egal

Objective

Somaliland faces one of the highest maternal mortality and morbidity rates globally. Access to high-quality post-abortion care is essential for managing complications arising from incomplete abortions, including those following miscarriages. This study aimed to explore women’s experiences of incomplete abortion and their encounters with Post abortion care (PAC) services in public healthcare facilities.

Methodology

An inductive qualitative design was employed. In-depth interviews were conducted with women who had experienced incomplete abortions and received PAC. Data were analysed using thematic analysis guided by an inductive approach.

Results

Two key themes emerged from the analysis:(i) Women’s understanding of incomplete abortion and barriers to accessing PAC – This theme explores women’s care seeking and perceptions of causes of miscarriage, the challenges faced in accessing PAC, and the enabling factors that supported their care-seeking behaviour. (ii) Perceptions of care quality and suggestions for improvement – This theme captures women’s experiences with the quality and accessibility of PAC services and their recommendations for improving service delivery.

Conclusions

The study highlights the vital role of family and friend in encouraging women to seek care. However, it reveals significant gaps, particularly in counselling, community awareness, and emergency care. Many women reported continued pain and bleeding after discharge, indicating the need for service improvement. Further quantitative research is needed to assess the capacity of health facilities to deliver comprehensive PAC. The Health authority and policy maker should support further research and increase investment in midwifery training and continuous professional development to improve access to and quality of PAC.

索马里是全球孕产妇死亡率和发病率最高的国家之一。获得高质量的流产后护理对于管理不完全流产（包括流产后流产）引起的并发症至关重要。本研究旨在探讨不完全流产妇女的经历及其在公共医疗机构的流产后护理（PAC）服务。方法采用归纳定性设计。对经历过不完全堕胎并接受过PAC的妇女进行了深入访谈。采用归纳方法指导的专题分析对数据进行了分析。结果从分析中得出两个关键主题：(i)妇女对不完全流产的理解和获得PAC的障碍-本主题探讨了妇女寻求护理和对流产原因的认识，获得PAC面临的挑战，以及支持其寻求护理行为的促成因素。对护理质量的看法和改进建议-这一主题反映了妇女对保健服务的质量和可获得性的经验以及她们对改进服务提供的建议。结论：该研究强调了家人和朋友在鼓励女性寻求治疗方面的重要作用。然而，它揭示了重大差距，特别是在咨询、社区认识和紧急护理方面。许多妇女报告出院后持续疼痛和出血，表明需要改善服务。需要进一步进行定量研究，以评估卫生设施提供全面PAC的能力。卫生当局和决策者应支持进一步研究，并增加对助产培训和持续专业发展的投资，以改善PAC的获得和质量。

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引用次数: 0

Reading the comments: An exploratory quantitative analysis of YouTube comments in response to abortion plotlines on fictional television programs 阅读评论：对YouTube评论对虚构电视节目中堕胎情节的回应进行探索性定量分析

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-06 DOI: 10.1016/j.srhc.2025.101135

Stephanie Herold , Piper Narendorf , Beth Hoffman

Objective

Previous research has found that exposure to abortion plotlines on fictional television programs may influence viewers’ knowledge about abortion, and that examining comments under health-related YouTube videos provides insight into discourse around the health topics. We conducted an exploratory quantitative content analysis of YouTube video clips from television abortion plotlines and comments.

Study Design

We identified YouTube clips posted in a five-year period (2018–2023) on official network accounts that depicted abortion plotlines. Two research assistants independently coded the top 20 comments and associated replies for each video using a systematically developed codebook. We calculated descriptive statistics and used chi-square tests to assess for differences in the distribution of content code by sentiment.

Results

Of the 275 abortion plotlines in our sample period, we identified 25 YouTube videos that met our inclusion criteria. Fifteen of these clips had more than 10 relevant comments, for a total of 619 relevant comments. Slightly less than half (43.8 %) expressed abortion positive sentiment, 22.0 % expressed abortion restrictive sentiment, and 19 % expressed complex sentiment. The most frequent content category was arguing with another poster (41.2 %,) followed by hostility toward another poster (16.2 %). Potential misinformation was present in 10.4 % of comments; these were significantly more likely to express abortion restrictive sentiment compared to abortion positive or complex sentiment (p < 0.001).

Conclusions

Results of this exploratory study suggest that YouTube comments posted under abortion plotline videos express a mix of sentiment, and social media data may offer a unique opportunity for researchers to investigate viewers’ reactions to these plotlines.

先前的研究发现，在虚构的电视节目中看到堕胎的情节可能会影响观众对堕胎的了解，而检查与健康相关的YouTube视频下的评论可以洞察围绕健康话题的话语。我们对YouTube视频片段中的电视堕胎情节和评论进行了探索性的定量内容分析。研究设计我们确定了在官方网络账户上发布的五年间（2018-2023年）描述堕胎情节的YouTube片段。两名研究助理使用系统开发的代码本，对每个视频的前20条评论和相关回复进行独立编码。我们计算了描述性统计数据，并使用卡方检验来评估情感内容代码分布的差异。在我们的样本期内的275个堕胎情节中，我们确定了25个YouTube视频符合我们的纳入标准。其中15个视频的相关评论超过10条，总共有619条相关评论。略少于一半（43.8%）的人表示堕胎是积极的，22.0%的人表示堕胎是限制的，19%的人表示堕胎是复杂的。最常见的内容类别是与另一位发帖者争吵（41.2%），其次是对另一位发帖者的敌意（16.2%）。10.4%的评论中存在潜在的错误信息；与堕胎积极或复杂的情绪相比，这些人更有可能表达堕胎限制情绪(p <；0.001)。这项探索性研究的结果表明，YouTube上关于堕胎情节视频的评论表达了各种各样的情绪，社交媒体数据可能为研究人员提供了一个独特的机会来调查观众对这些情节的反应。

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引用次数: 0

Balancing midwifery values with rural reality: Swedish midwives’ views of midwifery continuity of care – A qualitative study 平衡助产价值与农村现实：瑞典助产士对助产护理连续性的看法-定性研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-05 DOI: 10.1016/j.srhc.2025.101132

Johanna Sandén , Maria Lindqvist , Ingegerd Hildingsson , Margareta Johansson , Sophia Holmlund

Objective

Despite strong evidence of the benefits, Sweden has limited access to midwifery continuity of care (MCoC), particularly in rural areas. There is a knowledge gap regarding how MCoC would function in a rural Swedish context. Therefore, this study aimed to explore midwives’ personal and professional views on a MCoC model and its implementation within a rural context in northern Sweden.

Methods

A qualitative interview study using reflexive thematic analysis. Semi-structured interviews were conducted with fourteen midwives working in maternity care.

Results

The findings revealed a notable duality to MCoC, consisting of two major themes. In the first theme, ‘Internal conditions of midwifery’, midwives reported that working in a MCoC model would offer fulfillment but also present significant challenges, which they did not feel prepared to meet. Establishing a relationship of mutual trust with pregnant women emerged as a major positive aspect. The second theme, ‘The impact of external forces’, highlighted significant challenges, including organisational issues, staffing shortages, and concerns regarding work-life balance. Interprofessional collaboration and rural adaptation were considered key if the implementation of the model is to go ahead.

Conclusions

For MCoC to succeed in rural Sweden, it is essential to have a supportive organisation that recognises the benefits of the model, and provides midwives with working conditions that meet their professional and personal needs. Involving midwives in the model’s design, fostering interprofessional collaboration, and tailoring the model to rural settings are equally important. Addressing organisational challenges is crucial for establishing a functional and sustainable model.

目的：尽管有强有力的证据表明助产护理的益处，但瑞典的助产护理连续性（MCoC）有限，特别是在农村地区。关于MCoC如何在瑞典农村环境中发挥作用，存在知识差距。因此，本研究旨在探讨助产士对MCoC模式及其在瑞典北部农村环境中的实施的个人和专业观点。方法采用自反性主题分析进行质性访谈研究。对14名从事产妇护理工作的助产士进行了半结构化访谈。结果发现MCoC具有明显的双重性，包括两个主要主题。在第一个主题“助产的内部条件”中，助产士报告说，在MCoC模式下工作将提供成就感，但也会带来重大挑战，她们觉得没有准备好迎接这些挑战。与孕妇建立相互信任的关系是一个主要的积极方面。第二个主题是“外部力量的影响”，强调了重大挑战，包括组织问题、人员短缺以及对工作与生活平衡的担忧。如果要继续实施该模式，跨专业合作和农村适应被认为是关键。对于MCoC在瑞典农村取得成功，至关重要的是要有一个支持性组织，认识到该模式的好处，并为助产士提供满足其专业和个人需求的工作条件。让助产士参与该模式的设计、促进跨专业合作以及使该模式适合农村环境也同样重要。解决组织挑战对于建立一个功能和可持续的模式至关重要。

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引用次数: 0

Women’s experiences with long journeys to the nearest birthing facility and midwife accompaniment service: A qualitative study 妇女长途旅行到最近的分娩设施和助产士陪同服务的经验：一项定性研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-08-05 DOI: 10.1016/j.srhc.2025.101131

Anna Voll , Ingvild Celine Tveiten Baretto , Bente Dahl

Objective

To explore how pregnant women living 90 min or more from the nearest birthing facility experience the journey and accompaniment by a midwife to the facility.

Methods

A qualitative study using semi-structured interviews with nine first-time mothers living in various regions of Norway, conducted in November 2023. Systematic text condensation was used to analyse the data.

Results

The main findings indicated that having local midwifery expertise was a crucial factor for the women’s sense of security. They received care from a midwife from the first signs of the onset of labour at home until they arrived at the hospital. This was important to them as they expressed concerns about unforeseen situations and uncertainty about when to call an ambulance. The midwife’s birthing expertise and presence in the ambulance were described as vital and reassuring by the women. Although the ambulance journey was intense and uncomfortable, the women felt fortunate and satisfied to have access to it. The midwife accompaniment service was considered valuable but unreliable, as there was no guarantee that the midwife would be available, and the ambulance journey might therefore be unaccompanied.

Conclusion

The availability, presence and expertise of midwives were vital factors for these women. Nevertheless, the uncertain nature of the midwife accompaniment service indicates a need for improvement and further research to enhance the reliability and accessibility of midwife accompaniment to a birthing facility in remote areas.

目的探讨距离最近的分娩设施90分钟及以上的孕妇在助产士陪同下的乘车体验。方法采用半结构化访谈对生活在挪威不同地区的9位首次生育的母亲进行定性研究，于2023年11月进行。采用系统的文本浓缩方法对数据进行分析。结果主要调查结果表明，具备当地助产专业知识是影响产妇安全感的重要因素。她们从家中分娩的最初迹象开始，一直到抵达医院，都得到助产士的照顾。这对他们来说很重要，因为他们对不可预见的情况和不确定何时叫救护车表示担忧。助产士的分娩专业知识和在救护车上的存在被妇女们描述为至关重要和令人放心的。尽管救护车的旅程紧张而不舒服，但她们感到幸运和满足。助产士陪同服务被认为是有价值的，但不可靠，因为不能保证助产士随时待命，因此救护车的旅程可能无人陪伴。结论助产士的可获得性、存在性和专业性是影响这些妇女健康的重要因素。然而，助产士陪伴服务的不确定性表明需要改进和进一步研究，以提高偏远地区助产士陪伴分娩设施的可靠性和可及性。

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引用次数: 0