「帝王切開での出産体験」に関する文献検討

Literature Review of Cesarean Birth Experience

要旨

　目的：「帝王切開での出産体験」について，文献から明らかにし，看護実践と研究への示唆を得ること．

　方法：PubMed，CINAHL，医中誌web版を使用し，帝王切開での出産体験について論じられている論文を抽出し，計25文献を対象に帝王切開術後の女性の体験を明らかにした．

　結果：「帝王切開での出産体験」は，【医療者に支えられていると感じる】【医療者によるケアを受けられない】【肯定的な感情をもつ】【否定的な感情をもつ】【経腟分娩と出産満足度に差がない】【帝王切開術後疼痛による苦痛】【帝王切開によって生じる恐怖】があった．

　結論：女性の出産体験に影響する要因の把握が助産実践に応用できることが示唆された．

　Purpose: This study aimed to elucidate the cesarean birth experience and obtain suggestions for nursing practice and research through a review of the literature.

　Methods: Literature was identified from three databases: PubMed, CINAHL, Ichushi-Web. A total of 25 references were selected and the content from the review was organized.

　Results: Patients who underwent cesarean delivery reported the following experiences: feeling supported by medical personnel, not receiving care from medical personnel, having positive feelings, having negative feelings, no difference in satisfaction with delivery compared to vaginal delivery, distress due to post-cesarean pain, and fear caused by the cesarean section.

　Conclusions: This study suggests that understanding the factors that influence a woman's birth experience could be applied to midwifery practices.