瘢痕子宫再次妊娠后阴道试产意愿的质性研究  

A Qualitative Study of Willingness to Have a Vaginal Trial of Labor after a Second Pregnancy in Scarred Uterus

作　　者：吴海霞 WU Hai-xia(Department of Obstetrics and Gynecology,The Second Affiliated Hospital of Nanchang University,Nanchang 330001,Jiangxi Province,China)

机构地区：[1]南昌大学第二附属医院妇产科,江西南昌330001

出　　处：《罕少疾病杂志》2025年第2期111-113,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 了解瘢痕子宫再次妊娠后阴道试产意愿。方法 采用目的抽样法选取2022年8月至2023年2月我院再次妊娠的瘢痕子宫足月孕妇16名作为研究对象,采用半结构式深度访谈法收集访谈资料并利用瘢痕子Colaizzi 7步分析法对访谈资料进行归纳分析。结果 经整理分析共提炼出3个主题:再次分娩方式决策、阴道分娩体验的心理负担、社会支持作用。结论 通过为再次妊娠的瘢痕子宫孕妇提供多方位信息和情感支持,鼓励产妇积极参与分娩方式的决策,可促进产妇全面认知不同分娩生产方式利弊,理性选择适宜的分娩方式,避免盲目选择剖宫产。Objective To find out the willingness to have a vaginal trial of labor after a second pregnancy in keloid uterus.Methods Sixteen full-term pregnant women with keloid uterus who had a second pregnancy in our hospital from August 2022 to February 2023 were selected as the study subjects by purposive sampling method.Semi-structured in-depth interviews were used to collect the interview data and Colaizzi 7-step analysis method was used to summarize and analyze the interview data.Results Three themes were distilled from the collation and analysis:decision-making about the mode of delivery for another pregnancy,psychological burden of the vaginal delivery experience,and the role of social support.Conclusion By providing multi-directional information and emotional support to pregnant women with keloid uterus who are pregnant again and encouraging them to actively participate in the decision-making process of the mode of delivery,we can promote the women's comprehensive knowledge of the advantages and disadvantages of different modes of delivery,and rationally choose the appropriate mode of delivery,avoiding the blind choice of cesarean section.

关 键 词：瘢痕子宫 再次妊娠 阴道试产 质性研究 

分 类 号：R714.12[医药卫生—妇产科学]