产科干预对分娩经验的影响
Anna Volkert1, Lisa Bach2, Carsten Hagenbeck3
1Chair of Health Services Research, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany. anna.volkert@uk-koeln.de.
BMC pregnancy and childbirth
|July 27, 2024
概括
诸如无计划剖腹产 (CS) 等产科干预措施会对分娩经历产生负面影响. 了解干预措施影响了满意度的哪些方面是改善母亲福祉和母子关系的关键.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 心理健康 心理健康
背景情况:
- 出生经历显著影响母亲的心理健康和母子关系.
- 在分娩期间意外的医疗干预可能会对整体的出生体验产生负面影响.
- 评估干预的普遍性及其对分娩经验的影响对于改善孕产妇护理至关重要.
研究的目的:
- 确定导致出生体验减弱的因素.
- 评估德国非计划性产科干预的发生率.
- 了解干预措施如何影响分娩满意度的不同维度.
主要方法:
- 对1102名在8-12个月前分娩的母亲进行横截面分析.
- 使用修订的分娩经验问卷 (CEQ2) 来衡量分娩经验.
- 采用了描述性,双变量 (威尔科克森等级和值,克鲁斯卡尔-瓦利斯) 和多变量线性回归分析.
主要成果:
- 大多数参与者报告了有利的分娩经历 (平均评分为3.09/4).
- 底部压力,辅助性阴道分娩 (AVD) 和非计划性剖腹产 (CS) 与明显更糟糕的分娩经历有关.
- 未计划的CS对"个人能力"和"感知安全"产生了负面影响;AVD影响了"专业支持"和"参与".
结论:
- 产科干预显著影响着分娩经验的各种维度.
- 需要针对特定的满意度维度 (沟通,参与,安全) 的有针对性的干预措施,以提高分娩满意度.
- 了解干预具体影响对于提高母亲的满意度和幸福感至关重要.
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