社会人口和产科因素之间的关联,以及分娩经验
Daniella Rozsa1,2, Ragnar Kvie Sande1,3, Stine Bernitz4,5
1Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway.
Acta obstetricia et gynecologica Scandinavica
|February 19, 2025
概括
社会人口统计学因素通常不会影响分娩经验. 然而,吸烟与较低的专业支持分数有关,而37周的分娩与更好的整体分娩体验有关.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 患者体验研究 研究研究
背景情况:
- 出生经历受到社会人口统计学和产科因素的影响,但研究结果往往不一致.
- 识别负面分娩经历的风险因素对于有针对性的支持至关重要.
- 了解这些关联有助于在劳动和分娩期间提供更好的护理和支持.
研究的目的:
- 调查各种社会人口统计和产科因素与妇女分娩经验之间的个人关联.
- 确定哪些具体因素,如果有的话,会对整体分娩经验产生重大影响.
- 提供证据来识别有负面分娩经历风险的妇女.
主要方法:
- 利用劳动进展研究 (LaPS) 的数据,这是一个多中心随机试验.
- 在分娩后四周给了5810名妇女分娩经验问卷 (CEQ).
- 分析了社会人口统计学 (年龄,BMI,教育,民事状况,吸烟) 和产科 (妊娠年龄,分娩持续时间,分娩方式,并发症) 因素与CEQ分数之间的关联,使用逻辑线性回归.
主要成果:
- 共有3604名女性完成了CEQ (62.9%的应答率),平均CEQ总得分为3.24.
- 没有社会人口统计学特征与总分娩经验得分有显著关联.
- 怀孕早期的吸烟与较低的专业支持分数相关 (p=0.001),而怀孕37周的分娩与较高的CEQ总分数相关 (p=0.002).
结论:
- 个人社会人口统计学因素并没有显著影响这一群体的整体分娩经历.
- 怀孕第一季度吸烟与认知的专业支持减少有关.
- 怀孕37周的分娩与改善整体分娩体验有关,没有其他产科因素显示出重大影响.
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