Waldenström Ulla, Rudman Ann, Hildingsson Ingegerd
Department of Nursing, Karolinska Institutet, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 2006;85(5):551-60. doi: 10.1080/00016340500345378.
The aim of this study was to investigate satisfaction with intrapartum and postpartum care, and the risk of not being satisfied in relation to 1) a woman's sociodemographic background, 2) physical and emotional well-being in early pregnancy, 3) labor outcomes, 4) care organization, and 5) a woman's subjective assessment of aspects of care.
All Swedish-speaking women booked for antenatal care during 3 weeks spread over 1 year (1999-2000) were invited to participate in the study, and 2,686 (82% of those who consented to participate and 58% of those who were eligible) completed questionnaires in early pregnancy and 2 months postpartum. Women who were satisfied with overall intrapartum and postpartum care respectively were compared with those who were not regarding possible risk factors, and associations were tested by logistic regression analysis.
Ten percent of women were not satisfied with intrapartum care (ip) and 26% with postpartum care (pp). The following risk factors for not being satisfied were found: 1) age <25 years (ip), only elementary school (ip + pp), single status (pp), inconvenient timing of pregnancy (ip), lack of support from partner (ip); 2) suffering from many physical symptoms (ip + pp); 3) newborn transfer to neonatal clinic (ip + pp); 4) length of stay <1 day and > or =5 days (ip + pp), no "debriefing" after birth (ip), large hospital (pp); 5) lack of support by midwife (ip), little involvement in decision making (ip), dissatisfaction with birth environment (ip), insufficient time for breastfeeding support, encouragement and personal questions (pp).
本研究旨在调查产妇对产时及产后护理的满意度，以及与以下因素相关的不满意风险：1）女性的社会人口学背景；2）孕早期的身心健康状况；3）分娩结局；4）护理组织；5）女性对护理各方面的主观评价。
邀请了在1年（1999 - 2000年）内分3周预约产前护理的所有讲瑞典语的女性参与研究，2686名女性（占同意参与女性的82%，占符合条件女性的58%）在孕早期和产后2个月完成了问卷调查。分别将对产时及产后护理总体满意的女性与不满意的女性就可能的风险因素进行比较，并通过逻辑回归分析检验相关性。
10%的女性对产时护理不满意，26%的女性对产后护理不满意。发现以下不满意的风险因素：1）年龄<25岁（产时护理）、仅接受过小学教育（产时护理 + 产后护理）、单身（产后护理）、怀孕时机不便（产时护理）、缺乏伴侣支持（产时护理）；2）有许多身体症状（产时护理 + 产后护理）；3）新生儿转至新生儿诊所（产时护理 + 产后护理）；4）住院时间<1天及≥5天（产时护理 + 产后护理）、产后无“情况汇报”（产时护理）、医院规模大（产后护理）；5）缺乏助产士支持（产时护理）、很少参与决策（产时护理）、对分娩环境不满意（产时护理）、母乳喂养支持、鼓励及个人问题的时间不足（产后护理）。
