Abstract:

Objective To explore the experience of seeking help for making a decision on trial of labor after cesarean delivery among pregnant women after a cesarean section,in order to provide reference for developing strategies to meet women’s needs for decision-making,promote trial of labor after cesarean delivery,and improve maternal and child health.Methods Adopting phenomenology,semi-structured interviews were carried out between December 2017 and February 2018,and fourteen pregnant women who preferred vaginal birth after cesarean section from a tertiary hospital in Guiyang were recruited. Data were analyzed by Colaizzi’s method of data analysis.Results Three themes emerged from the data：needs for decision-making aid,pathway and experience of seeking a decision-making aid,and optimal form of decision-making aid.Conclusion Pregnant women after a cesarean section were eager for getting professional advice,emotional support and knowledge when they made a decision on trial of labor after cesarean delivery. Maternal and child health care workers should pay attention to the needs for decision-making aid,and provide convenient,professional,and personalized medical services,to help women have a correct view of trial of labor after cesarean delivery,enhance their confidence in vaginal delivery,and avoid blindly selecting a second cesarean section.

Key words: Vaginal Birth after Cesarean Delivery, Decision Making, Seeking Help Experience, Qualitative Research, Midwifery, Obstetrical Nursing

摘要：

目的 深入探讨剖宫产术后再次妊娠孕妇阴道试产决策的求助体验,为制订满足其阴道试产决策援助需求、促进其阴道试产、增进母婴健康的策略提供参考。方法 运用现象学研究法,选取2017年12月—2018年2月在贵阳市某三级甲等医院住院的14名剖宫产术后再次妊娠孕妇进行深度访谈,并运用Colaizzi分析法对访谈资料进行分析、总结、归纳。结果 提炼出剖宫产术后再次妊娠孕妇阴道试产决策求助体验的3个主题：决策援助需求、寻求决策援助的途径及体验、理想的决策援助方式。结论剖宫产术后再次妊娠孕妇阴道试产决策时,希望得到专业意见、情感支持和知识方面的决策援助,医护人员应关注其决策援助需求,提供便利、专业性、个性化的医疗服务,帮助其正确看待阴道试产,增强阴道分娩信心,避免盲目选择再次剖宫产。

关键词: 剖宫产后阴道分娩, 决策, 求助体验, 质性研究, 助产学, 产科护理