Maternal critical care: what can we learn from patient experience? A qualitative study.

作者: L. Hinton , L. Locock , M. Knight

DOI: 10.1136/BMJOPEN-2014-006676

关键词: Maternal near missBreast feedingIntensive care unitChildbirthMedicineNursingPatient experienceMaternal deathPopulationIntensive care

摘要: Objective For every maternal death, nine women develop severe morbidity. Many of those will need care in an intensive unit (ICU) or high dependency (HDU). Critical the context pregnancy poses distinct issues for staff and patients, example, with breastfeeding support separation from newborn. This study aimed to understand experiences who experience a near miss require critical after childbirth. Setting Women some partners across UK were interviewed as part near-miss Design A qualitative study, using semistructured interviews. Participants maximum variation sample was recruited 35 11 had experienced illness, which without urgent medical attention would have led her death. 18 admitted ICU HDU. Results The findings are presented three themes: being care; new mother transfer follow-up care. highlights shock requiring mothers gulf between their expectations birth what actually happened; devastation separated baby, how valuable access newborn was, if possible, importance breast feeding; difficulties more support; value outreach this population patients. Conclusions While uncommon, illness can be devastating presents challenge maternity staff. provides insights into these challenges recommendations overcoming them drawn patient experiences.

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