干旱区生态环境知识资源中心(Arid): Women's experiences of being assisted by two midwives during the active second stage of labour: Secondary outcomes from the Oneplus trial

Arid

DOI	10.1016/j.srhc.2023.100926
	Women's experiences of being assisted by two midwives during the active second stage of labour: Secondary outcomes from the Oneplus trial
	Tern, Helena; Rubertsson, Christine; Ekelin, Maria; Dahlen, Hannah G.; Haggsgard, Cecilia; Edqvist, Malin
通讯作者	Tern, H
来源期刊	SEXUAL & REPRODUCTIVE HEALTHCARE
ISSN	1877-5756
EISSN	1877-5764
出版年	2024
卷号	39
英文摘要	Background: 'Collegial Midwifery Assistance' (CMA) is a clinical practice aiming to reduce severe perineal trauma (SPT) during childbirth. This practice involves two midwives being present during the active second stage of labour rather than one, which is the case in standard care. The effectiveness of CMA was evaluated in the Oneplus trial and a 30% reduction in SPT was shown. Aim: The aim was to investigate the experience of women who received the CMA intervention in the trial and to explore factors influencing their experiences. Methods: A cohort study using data from the Oneplus trial and a one-month postpartum follow-up questionnaire. Descriptive statistics, univariable and multivariable logistic regression analyses were performed. Results: A total of 1050 women who received the CMA intervention responded to the questionnaire. Of these, 35.8% reported that they strongly agreed with feeling safe during the second stage of labour and 42.6% were inclined to have an additional midwife present at a subsequent birth. The intervention was favourably received by women who experienced fear of birth, who were non-native Swedish speakers, and had lower educational attainment. Furthermore, women were more positive towards CMA the longer the intervention lasted. Conclusions: The results of this study suggest that the CMA intervention is accepted well by women and can be safely implemented into standard care. The duration of the CMA intervention was an important factor that influenced women's experiences and should be used to guide future practice.
英文关键词	Childbirth experience Midwifery Perineal trauma OASIS Labour stage Second stage Severe perineal trauma
类型	Article
语种	英语
开放获取类型	hybrid
收录类别	SSCI
WOS记录号	WOS:001133762400001
WOS关键词	SEVERE PERINEAL TRAUMA ; BIRTH EXPERIENCE ; MANAGEMENT ; TEARS ; PERCEPTIONS ; QUALITY ; CARE
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/405628
推荐引用方式 GB/T 7714	Tern, Helena,Rubertsson, Christine,Ekelin, Maria,et al. Women's experiences of being assisted by two midwives during the active second stage of labour: Secondary outcomes from the Oneplus trial[J],2024,39.
APA	Tern, Helena,Rubertsson, Christine,Ekelin, Maria,Dahlen, Hannah G.,Haggsgard, Cecilia,&Edqvist, Malin.(2024).Women's experiences of being assisted by two midwives during the active second stage of labour: Secondary outcomes from the Oneplus trial.SEXUAL & REPRODUCTIVE HEALTHCARE,39.
MLA	Tern, Helena,et al."Women's experiences of being assisted by two midwives during the active second stage of labour: Secondary outcomes from the Oneplus trial".SEXUAL & REPRODUCTIVE HEALTHCARE 39(2024).