国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (3): 276-281.

• 论著 • 上一篇    下一篇

产科医生关于实施剖宫产术后再次妊娠阴道试产观点的质性研究

柏晓玲,罗忠琛,李建琼,孙贵豫,楼婷   

  1. 550002  贵阳,贵州省人民医院护理部(柏晓玲,罗忠琛),产科(孙贵豫),干部医疗科综合病房(楼婷);重庆三峡医药高等专科学校(李建琼)
  • 收稿日期:2019-08-26 修回日期:2019-10-30 出版日期:2020-06-15 发布日期:2020-06-23
  • 通讯作者: 柏晓玲,E-mail:baixiaoling2003@163.com E-mail:1327761162@qq.com
  • 基金资助:
    贵州省卫生计生委科学技术基金项目(gzwjkj2017-1-059)

A Qualitative Study on Obstetrician′s View on the Implementation of Vaginal Trial Delivery after Cesarean Section

BAI Xiao-ling, LUO Zhong-chen, LI Jian-qiong, SUN Gui-yu, LOU Ting   

  1. Department of Nursing(BAI Xiao-ling, LUO Zhong-chen), Department of Obstetrics(SUN Gui-yu), Comprehensive Wards, Department of Cadres Medical Treatment(LOU Ting), Guizhou Provincial People′s Hospital, Guiyang 550002, China; Chongqing Three Gorges Medical College, Chongqing 404120, China(LI Jian-qiong)
  • Received:2019-08-26 Revised:2019-10-30 Published:2020-06-15 Online:2020-06-23
  • Contact: BAI Xiao-ling, E-mail:baixiaoling2003@163.com E-mail:1327761162@qq.com

摘要: 目的:探讨产科医生对实施剖宫产术后再次妊娠阴道试产的看法及建议,为制定基于产科医生视角下促进实施阴道试产的策略提供参考。方法:运用质性研究中的现象学研究方法,对14名产科医生进行深度访谈,并运用Colaizzi分析法对访谈资料进行分析。结果:提炼出 4个主题,即产科医生对剖宫产后再次妊娠阴道试产的态度、剖宫产后再次妊娠阴道试产的适应条件、实施剖宫产术后再次妊娠阴道试产面临的困难、促进剖宫产后再次妊娠阴道试产的策略。结论:卫生保健部门应关注产科医生对实施剖宫产术后再次妊娠阴道试产的态度、面临的难题及促进实施阴道试产的建议,采取措施如加强该类孕妇对该分娩方式的认识,构建实施阴道试产的行业标准,完善开展阴道试产所需设备设施及人力资源配备等,以期为产科医生实施阴道试产提供依据及条件,从而促使其建议符合条件的剖宫产术后再次妊娠孕妇选择阴道试产,以促进母婴健康。

关键词: 剖宫产术, 再;, 剖宫产后阴道分娩;, 抽样研究

Abstract: Objective:To explore the opinions and suggestions of obstetricians on the implementation of vaginal trial delivery after cesarean section, so as to provide a reference for formulating strategies of vaginal trial delivery after cesarean section based on obstetricians′ perspective. Methods:Fourteen obstetricians participated in the semi-structure interviews. Data were analyzed using Colaizzi′s phenomenological procedure. Results:Four themes were concluded: Obstetrician′s attitude towards vaginal delivery after cesarean section, adaptive conditions for vaginal delivery after cesarean section, difficulties in vaginal trial delivery after cesarean section, strategies for promoting vaginal delivery after cesarean section. Conclusions:The departments should pay attention to obstetricians′ attitudes towards the implementation of vaginal trial delivery after cesarean section and the difficulties they are facing, and obstetricians′ suggestions on promoting vaginal trial delivery after cesarean section. Measures should be taken, such as strengthening the knowledge of this type of pregnant women about the mode of delivery, constructing the industry standard for the implementation of vaginal trial delivery, improving the equipment and facilities and human resources required for the implementation of vaginal trial delivery, etc. Provide support and conditions for the implementation of vaginal trial delivery. It urges pregnant women who meet the requirements after cesarean section to choose vaginal trial delivery, so as to promote maternal and infant health. 

Key words: Cesarean section, repeat;, Vaginal birth after cesarean;, Sampling studies