妇女在WILL随机试验中的分娩经历 (何时诱导分娩以限制妊娠高血压的风险):混合方法分析
Sue Tohill1,2, Katie Kirkham2, Eleni Gkini2
1Maternity Services, Guy's and St Thomas' National Health Service (NHS) Foundation Trust, London, UK.
概括
与通常的护理相比,计划过早分娩并没有显著改变高血压妇女的分娩满意度. 这项随机试验在分娩经历中没有发现差异,这表明其他因素也会影响分娩时间的决定.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 临床试验研究 临床试验研究
背景情况:
- 妊娠高血压,包括慢性和妊娠高血压,需要谨慎管理.
- 关于分娩时间的决定对母亲和胎儿的健康至关重要.
- 以前的研究已经探索了各种干预措施,以优化高血压怀孕的结果.
研究的目的:
- 为了比较患有慢性或妊娠性高血压的妇女之间的分娩满意度,随机选择计划的早产与通常护理.
- 评估计划过早分娩对妇女分娩经验的影响.
主要方法:
- 这是一项随机对照试验,涉及英国42个产科单位的403名妇女.
- 参与者被分配到计划的早产 (38+0-3周) 或通常的护理.
- 用22项分娩经验问卷 (CEQ) 和定性自由文本评论来评估分娩满意度.
主要成果:
- 在计划早产组和常规护理组之间的CEQ总分没有显著差异.
- 具体的分娩经验领域,包括"自身能力"",专业支持"",感知安全"和"参与",没有显著变化.
- 对自由文本评论的定性分析显示,两组评论的数量和积极性相似,其中"关系护理和护理互动"是一个突出的主题.
结论:
- 对于患有慢性或妊娠性高血压的健康妇女来说,计划过早分娩与通常的护理相比,不会改变分娩经验.
- 关于分娩时间的共同决策可能更多地受到临床结果和经济因素的影响,而不是仅仅通过分娩的满意度.
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