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首页> 外文期刊>Birth >University women's and men's mindsets surrounding postcesarean birth: Findings and implications for practice and policy
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University women's and men's mindsets surrounding postcesarean birth: Findings and implications for practice and policy

机译：大学女士和男士围绕业出生的思想：对实践和政策的调查结果和影响

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Abstract Background Nearly twice as many women report preferring vaginal birth after cesarean ( VBAC ) than actually undergo it. It is unknown whether the preference pattern would hold in childbearing‐aged individuals who had not yet been directly influenced by care experiences. We therefore examined postcesarean birth preferences in nulliparous university women and men to provide additional evidence to help advance related policy and practice. Methods An online study of 558 university women and 164 men who read a hypothetical postcesarean birth scenario was conducted. Students selected the option they would prefer for themselves or a partner in a similar situation; these data were analyzed descriptively and for gender differences. Students’ written rationales were analyzed qualitatively. Results Of women, 38.2% reported preference for VBAC compared with 47.6% of men ( P? ? .05). Thematic analysis revealed that women and men based their preferences on safety, quality of experience, and other concerns similar to those reported among pregnant women making the decision. Assumptions and misinformation were also noted. Conclusion Given the current primary cesarean rate of ~20%, the current childbearing generation will be facing cesarean and postcesarean birth decisions in appreciable numbers. The relatively high VBAC preference rate reported by our participants, particularly men, is useful in advocating for expanded access and practice. From a constructivist perspective, evidence of young adults’ mindsets and misconceptions surrounding postcesarean birth is valuable for developing effective educational interventions.
机译：抽象背景近两是许多妇女在剖宫产（vbac）之后偏爱阴道分娩而不是实际接受它。尚不清楚偏好模式是否会持有尚未直接受到护理经验影响的生育老年人。因此，我们在无烟大学妇女和男性中审查了过度的出生偏好，以提供额外的证据，以帮助提前有关的政策和实践。方法对558名大学妇女和164名读取假设后诞生情景的在线研究进行了一项关于558名大学女性和164名男子。学生选择了他们愿意在类似情况下享受自己或合作伙伴的选项;这些数据描述了描述性和性别差异。学生的书面理由被定性分析。女性的结果，38.2％报告的VBAC偏好与47.6％的男性（P？＆Δ05）相比。专题分析显示，妇女和男性基于他们对安全，经验质量和其他担忧的偏好与孕妇作出决定的其他问题。还注意到假设和错误信息。结论鉴于目前的初级剖宫产率〜20％，目前的生育生成将面临剖宫产和业务业出生的决定，以明显的数量。我们的参与者，特别是男性报告的相对较高的VBAC偏好率在倡导扩大的访问和实践方面是有用的。从建构主义的角度来看，围绕业务过度出生的年轻成年人心态和误解的证据对于发展有效的教育干预措施是有价值的。

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  • 来源
    《Birth》 |2017年第4期|共7页
  • 作者

    Soliday Elizabeth; Grant Gillian; James Jillian; Noell Bailey; Samaduroff Joel;

  • 作者单位

    Department of Human DevelopmentWashington State University VancouverVancouver WA USA;

    Department of PsychologyWashington State University VancouverVancouver WA USA;

    Department of PsychologyWashington State University VancouverVancouver WA USA;

    Department of Human DevelopmentWashington State University VancouverVancouver WA USA;

    Department of AnthropologyWashington State University VancouverVancouver WA USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 产科学;
  • 关键词

    birth attitudes; preconception; vaginal birth after cesarean;

    机译：诞生态度;先注于剖宫产后阴道分娩;

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