【摘要】 目的 探讨经产妇和医护人员对适宜生育间隔及其关键影响因素的看法与建议。方法 于2022年4月1日至6月30日开展半结构化深度访谈,采用目的 抽样法,在上海市某三级甲等妇产专科医院选取9名经产妇、10名医务人员及3名健康相关专业人员参与研究。采用主题分析法对访谈转录文本进行分析。结果 共提炼出2个主题及4个副主题:关于适宜生育间隔的平衡决策(经产妇实际生育间隔与推荐间隔的一致性及差异性;以健康与发展为导向的专业建议);结合健康和社会层面考量的内外部决定因素(个体层面的内部决定因素;涉及子女因素、家庭支持与社会保障的外部决定因素)。受访经产妇、医护人员及健康相关专业人员均认为18至36个月是适宜的生育间隔范围。结论 经产妇、医护人员及健康相关专业人员基于综合考量,提出了18至36个月为相对适宜生育间隔的权衡性建议。在中国生育政策转型期,医护人员应为女性及其家庭在生育间隔期提供针对性的社会保障和医疗护理服务。更多还原

【Abstract】 Objectives: This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(BIs) and key determinants.Methods: In-depth semi-structured interviews were conducted between April 1 and June 30, 2022. Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached. A thematic analysis approach was applied to the interview transcripts, utilizing dual independent coding and consensus validation in NVivo 12.0.Results: The data generated two overarching categories: 1) balanced decision-making on the appropriate birth intervals and 2) internal and external determinants integrated with health and societal considerations. Four key themes emerged following the two categories: 1) consistency and discrepancy between the actual and recommended birth intervals of multiparas; 2) health-and developmentoriented professional recommendations; 3) internal determinants related to individual-level factors;and 4) external determinants related to child-related factors, family support, and social security.Weighing women’s reproductive health and career development, multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate BI.Conclusion: Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months, which was influenced by women’s individual-level factors, child-related factors, family support, and social security. Targeted social and healthcare services should be offered to women and their families during the BIs.更多还原