预测分娩经验的预测因素:西班牙东部的一项前性观察研究
F J Soriano-Vidal1, A Oliver-Roig2, M Richart-Martínez2
1Department of Nursing, University of Alicante. Spain. Cta. San Vicente del Raspeig s/n 03690 San Vicente del Raspeig, Alicante; Department of Nursing Universitat de València. C/Jaume Roig s/n. 46010 Valencia, Spain; Midwife, Hospital Lluis Alcanyis, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Ctra. Xàtiva-Silla, km 2, 46800 Xàtiva, Valencia, Spain.
Midwifery
|June 7, 2023
概括
积极的分娩经历与拥有分娩伴侣,饮用液体,早期皮肤接触和专门的分娩室有关. 常规的表皮切割和手术分娩会对母亲的分娩经历产生负面影响.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 围产期护理 围产期护理
背景情况:
- 产妇医疗保健的质量越来越多地由出生经验来评估.
- 国家和国际组织强调出生经验的重要性.
- 标准化工具用于测量和评估分娩经历.
研究的目的:
- 确定显著影响母亲分娩经验的临床指标.
- 评估产后干预对分娩经验的影响.
- 为改善孕产妇护理提供基于证据的建议.
主要方法:
- 在西班牙东部的十四家医院进行前性观察性研究.
- 749名妇女同意收集数据.
- 西班牙语版本的分娩经验问卷用于分娩后1-4个月的数据收集.
- 进行线性回归分析以确定具有影响力的临床出生指标.
主要成果:
- 有一个出生伴侣 (B=0.250,p=0.028) 对出生体验产生了积极的影响.
- 在分娩期间饮用液体 (B=0.249,p<0.001) 和早期皮肤接触 (B=0.213,p<0.001) 是显著的积极预测因素.
- 转移到一个专门的房间的第二阶段的劳动 (B=0.098,p=0.016) 也积极影响了经验.
- 外皮切除术 (B=-0.100,p<0.015) 和手术分娩 (B=-0.128,p<0.008) 显示对分娩经验有负面影响.
结论:
- 与临床实践指南一致的产妇干预措施提高了母亲的分娩体验.
- 由于它们对分娩经验的负面影响,不建议进行常规的表皮切割和手术分娩.
- 专注于支持性护理,并尽量减少不必要的干预,可以提高产妇在分娩期间的满意度.
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