Healthcare literature describes predisposing factors, clinical risk, maternal and neonatal clinical outcomes of unplanned out-of-hospital birth; however, there is little quality research available that explores the experiences of mothers who birth prior to arrival at hospital. This study utilised a narrative inquiry methodology to explore the experiences of women who birth in paramedic care. The inquiry was underscored by 22 narrative interviews of women who birthed in paramedic care in Queensland, Australia between 2011 and 2016. This data identified factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. Women in this study began their story by discussing previous birth experience and their knowledge, expectations and personal beliefs concerning the birth process. Specific to the actual birth event, women reported feeling empowered, confident and exhilarated. However, some participants also identified concerns with paramedic practice; lack of privacy, poor interpersonal skills, and a lack of consent for certain procedures. This study identified several factors and a subset of factors that contributed to their experiences of the planned hospital birth occurring in the out-of-hospital setting. Women described opportunities for improvement in the care provided by paramedics, specifically some deficiencies in technical and interpersonal skills.

中文翻译：

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妇女在护理人员护理中计划外院外分娩的经历

医疗保健文献描述了计划外院外分娩的诱因，临床风险，孕产妇和新生儿的临床结局；但是，几乎没有高质量的研究来探讨在住院之前出生的母亲的经历。这项研究采用叙述性询问方法来探索在辅助医疗中分娩的妇女的经历。在2011年至2016年期间，对澳大利亚昆士兰州在辅助医疗中出生的妇女进行了22次叙述性访谈，突显了这一询问。该数据确定了导致院外环境中计划住院分娩的因素。本研究中的女性通过讨论以前的生育经验以及有关生育过程的知识，期望和个人信念来开始她们的故事。特定于实际的出生事件，妇女报告称自己感到有能力，有信心并感到振奋。但是，一些与会者还指出了对护理人员执业的关注；缺乏隐私，较差的人际交往能力以及缺乏对某些程序的同意。这项研究确定了一些因素以及一部分因素，这些因素有助于他们在院外环境中计划住院分娩的经历。妇女描述了改善护理人员提供的护理的机会，特别是技术和人际交往能力方面的某些不足。这项研究确定了一些因素以及一部分因素，这些因素有助于他们在院外环境中计划住院分娩的经历。妇女描述了改善护理人员提供的护理的机会，特别是技术和人际交往能力方面的某些不足。这项研究确定了一些因素以及一部分因素，这些因素有助于他们在院外环境中计划住院分娩的经历。妇女描述了改善护理人员提供的护理的机会，特别是技术和人际交往能力方面的某些不足。