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Autonomy in labour and delivery in a Latin American urban centre: a qualitative phenomenological analysis

机译:拉丁美洲城市中心的劳动和分娩自主性:定性现象学分析

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摘要

The medicalisation of childbirth has diminished the role of labouring people. We conducted an exploratory phenomenological qualitative study, using purposive sampling, and then conducted 17 semi-structured interviews between December 2016 and October 2017 with people who had recently given birth in a public hospital in the Northern Metropolitan area of Santiago, Chile. The sufficiency of the study group was determined according to saturation criteria. Triangulated content analysis was applied to explore the clinical relationship and processes of autonomy and decision-making. The predominant clinical relationship observed was paternalism. The participation of labouring people in decision-making is scarce, with no evidence of ethically valid processes of informed consent.
机译:分娩的医学化削弱了劳动者的作用。我们使用目的抽样进行了一项探索性现象学定性研究,然后在 2016 年 12 月至 2017 年 10 月期间对最近在智利圣地亚哥北部都会区的一家公立医院分娩的人进行了 17 次半结构化访谈。根据饱和度标准确定研究组的充足性。应用三角内容分析来探索自主和决策的临床关系和过程。观察到的主要临床关系是家长式。劳动者参与决策的机会很少,没有证据表明知情同意的道德有效过程。

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