在瑞典,移民妇女在分娩过程中获得社区朵拉支持的经历。一项混合方法研究。

IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sexual & Reproductive Healthcare Pub Date : 2024-06-27 DOI:10.1016/j.srhc.2024.101000
Radhika Purandare , Kajsa Ådahl , Maria Stillerman , Erica Schytt , Nataliia Tsekhmestruk , Helena Lindgren
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引用次数: 0

摘要

目的描述移民妇女对基于社区的双语助产士(CBD)在分娩和生产护理方面所做贡献的体验:混合方法研究,结合了在随机对照试验中接受 CBD 支持的 82 名妇女的定量数据,以及对同一研究组的 12 名妇女进行的半结构化访谈的定性数据。定量数据采用描述性分析,定性数据的显性和隐性内容则采用内容分析。定量研究结果根据定性研究结果进行分类:结果:妇女们表达了在没有其他女性家庭成员的情况下,社区支持中心如何在满足她们基本的情感、信息和身体支持需求方面发挥了重要作用。通过对访谈的分析,得出了三大类结论:朵拉帮助妇女感到安全和平静--在产前、产中和产后提供支持;朵拉的支持作用填补了深深思念的家人、母亲或姐妹留下的空白;以及朵拉通过沟通支持和宣传帮助妇女实现自主。半数以上的妇女表示在分娩和生产过程中感觉到了参与感(56.8%),大多数妇女对 "助产士 "给予了积极的评价(如干练、冷静、安全、体贴、尊重、鼓励、支持)(40.8%-80.3%),认为 "助产士 "提供了翻译服务(75.6%),促进了与助产士的沟通(60.3%),安慰了产妇(57.7%),减少了焦虑(48.7%)。极少数人报告了 CBD 的负面特征(1.3%-9.2%)。然而,61.7%的产妇在分娩和生产过程中感到害怕,这使她们认为朵拉的存在更为重要。只有极少数妇女(21.8%)表示 CBD 为其伴侣提供了支持,但她们在访谈中也表达了这一观点:双语社区朵拉在满足移民妇女的基本情感、信息和生理需求方面做出了重要贡献,因此有可能改善移民妇女在分娩和生产过程中的护理体验。然而,似乎有必要更加关注双语社区朵拉对伴侣的支持质量。
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Migrant women’s experiences of community-based doula support during labor and childbirth in Sweden. A mixed methods study

Objective

To describe migrant women’s experiences of bilingual community-based doulas (CBD) contribution to care in relation to labor and birth.

Methods

Mixed methods study combining quantitative data from 82 women who received CBD-support within a randomized controlled trial and qualitative data from semi-structured interviews with a sub-sample of 12 women from the same study arm. Descriptive analyses were used for quantitative data and content analysis for the manifest and latent content of the qualitative data. Quantitative findings were categorized according to qualitative findings.

Results

The women expressed how CBDs played an essential role in the response to their basic emotional, informational, and physical support needs, when no other female family member was available. Three main categories emerged from the analysis of interviews: The doulas help women feel safe and calm – providing support before, during and after childbirth; The doulas’ support role fills the void left by a deeply missed family, mother or sister; and The doulas assist women in achieving autonomy through communication support and advocacy. More than half of women reported feeling involved during labor and birth (56.8%), most valued CBD positively (such as being competent, calm, secure, considerate, respectful, encouraging, supportive) (40.8%-80.3%), that CBD had interpreted (75.6%), facilitated communication with the midwife (60,3%), comforted the woman (57.7%) and reduced anxiety (48,7%). Few reported negative CBD-characteristics (1.3–9.2%). Nevertheless, 61.7% of women felt frightened sometime during labor and birth, which made it even more important to them that the doula was there. Few women (21.8%) reported that the CBD had supported her partner but expressed so in the interviews.

Conclusion

Through an essential contribution in responding to migrant women’s basic emotional, informational, and physical needs, bilingual community-based doulas have the potential to improve migrant women’s experience of care during labour and birth. However, more focus on the quality of CBD-support to partners seem necessary.

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来源期刊
Sexual & Reproductive Healthcare
Sexual & Reproductive Healthcare PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.70
自引率
5.60%
发文量
73
审稿时长
45 days
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