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Perception of childbirth experiences of Japanese women in Bali, Indonesia: a qualitative study

机译:印度尼西亚巴厘岛日本女性分娩经验的看法:一个定性研究

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Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25?years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey. We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method. From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth. Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.
机译:印尼产妇保健服务在过去的25年半内看到显着改善,但仍有改进的余地。的看法,由妇女,提供的围产期保健,是一个重要的投入,以进一步提高这些服务。本研究探讨如何提供的围产保健是由日本女性在巴厘岛经验丰富,采用访谈调查。我们进行了半结构化面试,从8月至2017年10月,居住在Badung摄政和登巴萨市14名日本女性在巴厘岛省,印度尼西亚的报告他们的围产期保健他们在他们的怀孕经历的看法。包括在其他的面试指南,原因选择特定的(围产期保健)医疗机构和他们的满意度与他们使用的产前,分娩的经验,和产后护理服务。使用定性内容分析方法对数据进行分析。从访谈数据,提取12个类别横跨五个主题。与会者报告经历,如在获得围产期保健相关信息的难度在其怀孕的各种顾虑。从他们的怀孕之初,参与者逐步建立信任与助产士的关系,但在许多情况下,他们感到失望与他们的分娩经验,因为他们认为,所提供的护理是不是女人为中心。通过自身的努力以及与之相配套的家庭成员和其他日本居民,许多妇女能够最终把自己的分娩经历为阳性。然而,有些妇女无法克服自己的负面印象甚至几年分娩后。与会者期望从护士和助产士密切关注和鼓励。我们的研究结果表明,日本女人在巴厘岛期间其怀孕和产后护理预计从护理/助产人员一个女人为中心的围产期保健和积极支持。

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