随着时间的推移对分娩经验的评估-一项前性队列研究
Susanne Hesselman1,2, Wilma Sten1, Yvonne Skogsdal3
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Acta obstetricia et gynecologica Scandinavica
|July 2, 2025
概括
随着时间的推移,分娩经历变得更糟,特别是在参与和专业支持方面,根据分娩经验问卷2 (CEQ2). 一个单项评级表无法捕捉出产经验中的这些负面变化.
科学领域:
- 产科和妇科 产科和妇科
- 妇女健康 妇女健康
- 围产期心理学 围产期心理学
背景情况:
- 出生经历显著影响到母亲和家庭的福祉.
- 之前关于分娩经验随时间变化的研究显示出不一致的结果.
- 在瑞典,评估分娩经验在分娩后是例行的,但最佳时间尚不清楚.
研究的目的:
- 研究从出生到产后6个月的分娩经验的变化.
- 将单项评级表与多项评级表进行比较 (分娩经验问卷2 - CEQ2).
- 为了评估这两种评估工具之间的相关性.
主要方法:
- 在瑞典两家医院对320名女性进行前性队列研究.
- 在出生,出生后3个月和出生后6个月收集的数据.
- 使用10分数值评分尺度 (NRS) 和CEQ2 (评估感知安全,自身能力,参与,专业支持).
主要成果:
- 总体分娩经验 (NRS) 没有随着时间的推移显著变化.
- 从出生到产后6个月,CEQ2总得分显著下降 (p < 0.001).
- 由于参与和专业支持领域的评级较低,CEQ2分数下降.
结论:
- 女性对分娩经验的看法随着时间的推移而下降,当使用CEQ2进行评估时.
- 一个单项的整体评级表并不能反映出分娩经验的长期变化.
- CEQ2对特定分娩体验维度的时间变化更加敏感.
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