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在潜伏阶段进行主动与标准支持分娩的分娩经验 - 一个随机的,受控的临床试验

Marit Larsen¹, Anne Husby¹, Maria Underdal¹

¹Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway; Department of Obstetrics and Gynecology, St. Olav's Hospital, Trondheim University Hospital, 7006 Trondheim, Norway.

Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives

|March 4, 2026

概括

积极支持分娩 (PSL) 与标准支持 (SSL) 相比,对未婚妇女的分娩经历没有显著改变. 这两种方法都产生了高的整体分娩经验得分,表明没有有害影响.

科学领域:

产科和妇科产科和妇科
孕产妇健康孕产妇健康
临床试验研究临床试验研究

背景情况:

长时间的分娩和长时间的潜伏阶段可能会对分娩经历产生负面影响.
了解支持分娩的干预措施对于改善母亲的结果至关重要.

研究的目的:

调查是否在潜伏阶段的劳动主动支持 (PSL) 与标准劳动支持 (SSL) 相比,在无产妇妇女中增强了分娩经验.
检查劳动时间对PSL和SSL组分娩经验的影响.
评估母亲在随后的怀孕中对分娩方式的偏好.

主要方法:

进行了一项单中心随机临床试验.
从"主动与标准劳动支持"研究中招募了初级妇女.
产后经验问卷 (CEQ) 的分数被收集并使用曼-惠特尼U测试进行分析.

主要成果:

在主动支持劳动 (PSL) 和标准支持劳动 (SSL) 组之间,没有观察到CEQ总分或域名分数的显著差异.
在这两组中,分娩经验得分根据分娩持续时间 (<12小时或≥12小时) 并没有显著差异.
在未来怀孕中,母亲对剖腹产的偏好在PSL (4%) 和SSL (8%) 组之间是相似的.

结论:

与标准支持相比,在潜伏阶段进行分娩的积极支持并不能显著改善或减少无孕妇女的分娩经历.
积极的和标准的劳动支持策略都导致了高的整体分娩经验得分.

关键词:

经历了分娩的经验.出生经验问卷问卷的分娩经验问卷潜伏阶段潜伏阶段它们是无类的.积极支持劳动力的积极支持.长时间的劳动劳动.

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