促進準爸爸陪產之專案改善

Improvement of Expectant Father Presenting during Labor and Delivery

對大多數婦女而言，分娩是一件非常重要且極具壓力的事件。承受生產壓力的能力，除了與個人特質有關外，配偶的支持力量是不容忽視的。但在臨床上準爸爸的陪產率仍低，故本專案主要目的為提昇待產婦於自然生產情況下準爸爸的陪產率。為了探討準爸爸陪產率低落的原因，本專案改善小組應用個別訪談法及調查方法進行研究。研究結果發現準爸爸陪產率低落的主要原因為：準爸爸缺乏陪產訊息、準爸爸對陪產缺乏心理準備與訓練。為了配合台北市衛生局推行『準爸爸陪產』政策，將準爸爸陪產訊息告知納入產前教育的常規護理，並將準爸爸陪產制度與陪產心理調適課程納入生產教育訓練課程內容，同時也建立了陪產認證。經過實施為期六個月的專案改善之後，結果顯示準爸爸陪產率由原先的9.08％提昇至14.56％。雖然整體陪產率仍偏低，但成長的比率達60％，就短期成效而言，是相當不錯的結果。

To most pregnant women, labor is one of the most important and stressful events. Endurance of the labor stress depends on not only the personal characteristics of a woman but also the spouse’s constant support. The purpose of this study was to improve the proportion of expectant father presenting during labor and delivery. This study employed both qualitative interview and questionnaire survey to explore the reason of the low rate of expectant father of presenting during labor and delivery. The findings showed that the lacking of information about this supporting system, insufficient mental preparation and training, and inconsistent recommendation from doctors were three major reasons. In order to incorporate the new health policy of “expectant father presenting during labor and delivery”, proposed by the Bureau of Health of Taipei City Government, the research team had listed “the expectant father presenting during laboring and delivery” as a routine prenatal health education and incorporated the expectant fathers participating in larbor and psychological adaptation into childbirth educational courses. After 6-month period of prenatal health education, the rate of expectant father participating during labor and delivery increased from 9.08% to 14.56%. Although such number was low, the increase of 60% was significant for short term outcomes.