recovery after caesarean birth a qualitative study of womens accounts in victoria, australia复苏后剖腹产的定性研究女性的账户在维多利亚,澳大利亚.pdfVIP

Kealy et al. BMC Pregnancy and Childbirth 2010, 10:47 /1471-2393/10/47 RESEARCH ARTICLE Open Access Recovery after caesarean birth: a qualitative study of women’s accounts in Victoria, Australia 1* 1 2 Michelle A Kealy , Rhonda E Small , Pranee Liamputtong Abstract Background: The caesarean section rate is increasing globally, especially in high income countries. The reasons for this continue to create wide debate. There is good epidemiological evidence on the maternal morbidity associated with caesarean section. Few studies have used women’s personal accounts of their experiences of recovery after caesarean. The aim of this paper is to describe women’s accounts of recovery after caesarean birth, from shortly after hospital discharge to between five months and seven years after surgery. Method: Women who had at least one caesarean birth in a tertiary hospital in Victoria, Australia, participated in an interview study. Women were selected to ensure diversity in experiences (type of caesarean, recency), caesarean and vaginal birth, and maternal request caesarean section. Interviews were audiotaped and transcribed verbatim. A theoretical framework was developed (three Zones of clinical practice) and thematic analysis informed the findings. Results: Thirty-two women were interviewed who between them had 68 births; seven women had experienced both caesarean and vaginal births. Three zones of clinical practice were identified in women’s descriptions of the reasons for their first caesareans. Twelve women described how, at the time of their first caesarean section, the operation was performed for potentially life-saving reasons (Central Zone), 11 described situations of clinical uncertainty (Grey Zone), and nine stated they actively sought surgical in