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Women's experiences of midwifery care immediately before and after caesarean section deliveries at a public Hospital in the Western Region of Ghana.
BMC Pregnancy and Childbirth ( IF 3.1 ) Pub Date : 2020-01-02 , DOI: 10.1186/s12884-019-2698-4
Agani Afaya 1 , Veronica Millicent Dzomeku 2 , Elizabeth A Baku 1 , Richard Adongo Afaya 2 , Mavis Ofori 1 , Samuel Agyeibi 1 , Frederick Boateng 1 , Rosemond Ohwui Gamor 1 , Elsie Gyasi-Kwofie 1 , Prudence P Mwini Nyaledzigbor 1
Affiliation  

BACKGROUND Childbirth remains a uniquely multifaceted, mental-cognitive and a major life experience to women. It is composed of a variety of psycho social and emotional aspects and creates memories, sometimes bad experiences and unmet expectations which leaves the mother with lasting scars. Therefore, this study aimed at exploring post-caesarean section delivered mothers experiences of midwifery care in a public hospital in Ghana. METHODS This descriptive exploratory qualitative research used an interpretative approach to explore mothers' experiences of midwifery care immediately before and after caesarean section (CS). The study employed a purposive sampling technique in recruiting 22 participants who had knowledge of the phenomenon under study. Data collection was guided by an interview guide, which involved face to face individual interviews and focus group discussion at the postnatal ward and clinic. All interviews were audio-recorded and lasted 30-40 min. Audio recordings were transcribed verbatim and inductive thematic data analysis employed. RESULTS Four major themes emerged from the analysis of participants' transcripts: Support by Midwives (physical and psychological, and attitude towards patients' pain management); Protection of mothers (provision of privacy, confidentiality and physical environment); Provision of information/communication (before caesarean section, and before a minor task) and midwives' attitude (attitude towards delivery care). CONCLUSION Mothers delivered by caesarean section had varied experiences of midwifery care which were both positive and negative ones. Provision of psychological support and adequate pain management were positive experiences. The challenges experienced were related to provision of information, privacy, and physical support. Participants, who underwent emergency CS in particular, were dissatisfied with the provision of information concerning the surgical procedure. Provision of privacy and physical support were also issues of great concern. We therefore, recommend supportive and sensitive midwifery care particularly for mothers undergoing emergency CS. Documenting women's diverse experiences of midwifery care before and after CS delivery is important to healthcare providers, hospital managers and policy makers as the feedback garnered can be used to improve maternity services and inform decisions on midwifery care.

中文翻译:

加纳西部地区一家公立医院剖腹产手术前后妇女的助产护理经验。

背景技术分娩对于妇女而言仍然是独特的多方面的,心理认知的和主要的生活经历。它由各种心理,社会和情感方面组成,并产生记忆,有时会产生不良经历和未得到满足的期望,这给母亲留下了持久的伤疤。因此,这项旨在探讨剖腹产的研究为母亲在加纳的一家公立医院提供了助产护理的经验。方法这项描述性探索性定性研究采用一种解释性方法,探讨了剖腹产(CS)前后母亲的助产护理经验。该研究采用了有目的的抽样技术,招募了22位对所研究现象有知识的参与者。数据收集由访谈指南指导,其中涉及产后病房和诊所的面对面个人访谈和焦点小组讨论。所有采访都进行了录音,并持续了30-40分钟。录音逐字记录,并采用归纳主题数据分析。结果通过对参与者的笔录进行分析,得出了四个主要主题:助产士的支持(身体和心理以及对患者疼痛处理的态度);以及助产士的支持。保护母亲(提供隐私,保密和自然环境);提供信息/交流(在剖腹产之前和次要任务之前)和助产士的态度(对分娩护理的态度)。结论剖宫产分娩的母亲在助产护理方面经验各异,既有正面经历也有负面经历。提供心理支持和适当的疼痛管理是积极的经验。遇到的挑战与信息提供,隐私和物理支持有关。参加了特别是紧急CS的参与者对提供有关手术程序的信息不满意。隐私和身体支持的提供也是引起人们极大关注的问题。因此,我们建议支持和敏感的助产士护理,尤其是对于经历紧急CS的母亲。记录妇女在CS交付之前和之后在助产士护理方面的各种经历对于医疗保健提供者,医院经理和政策制定者很重要,因为收集到的反馈可用于改善产妇服务并为有关助产士护理的决策提供信息。遇到的挑战与信息提供,隐私和物理支持有关。参加了特别是紧急CS的参与者对提供有关手术程序的信息不满意。隐私和身体支持的提供也是引起人们极大关注的问题。因此,我们建议支持和敏感的助产士护理,尤其是对于经历紧急CS的母亲。记录妇女在CS交付之前和之后在助产士护理方面的各种经历对于医疗保健提供者,医院经理和政策制定者很重要,因为收集到的反馈可用于改善产妇服务并为有关助产士护理的决策提供信息。遇到的挑战与信息提供,隐私和物理支持有关。参加了特别是紧急CS的参与者对提供有关手术程序的信息不满意。隐私和身体支持的提供也是引起人们极大关注的问题。因此,我们建议支持和敏感的助产士护理,尤其是对于经历紧急CS的母亲。记录妇女在CS交付之前和之后在助产士护理方面的各种经历对于医疗保健提供者,医院经理和政策制定者很重要,因为收集到的反馈可用于改善产妇服务并为有关助产士护理的决策提供信息。对提供有关手术程序的信息不满意。隐私和身体支持的提供也是引起人们极大关注的问题。因此,我们建议支持和敏感的助产士护理,尤其是对于经历紧急CS的母亲。记录妇女在CS交付之前和之后在助产士护理方面的各种经历对于医疗保健提供者,医院经理和政策制定者来说非常重要,因为收集到的反馈信息可用于改善产妇服务并为有关助产士护理的决策提供信息。对提供有关手术程序的信息不满意。隐私和身体支持的提供也是引起人们极大关注的问题。因此,我们建议支持和敏感的助产士护理,尤其是对于经历紧急CS的母亲。记录妇女在CS交付之前和之后在助产士护理方面的各种经历对于医疗保健提供者,医院经理和政策制定者很重要,因为收集到的反馈可用于改善产妇服务并为有关助产士护理的决策提供信息。
更新日期:2020-01-02
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