Beebe Kathleen R, Lee Kathryn A, Carrieri-Kohlman Virginia, Humphreys Janice
Dominican University of California, San Rafael, CA 94901, USA.
J Obstet Gynecol Neonatal Nurs. 2007 Sep-Oct;36(5):410-8. doi: 10.1111/j.1552-6909.2007.00170.x.
To describe levels of anxiety and self-efficacy for childbirth in nulliparous women during the late third trimester and to identify relationships among those variables, prehospitalization labor pain, management strategies, and hospital admission status.
A longitudinal, descriptive study.
Thirty-five English-speaking nulliparous women, 18 to 40 years of age, more than or equal to 38 week's gestation, with uncomplicated pregnancies. All participants had a significant other (husband or partner) and attended childbirth education programs.
Spielberger Trait Anxiety Inventory, Prenatal Self-Evaluation Questionnaire, Childbirth Self-Efficacy Inventory, McGill Pain Questionnaire-Short Form, postpartum interviews, and medical records review.
Prenatal anxiety was significantly related to self-efficacy for childbirth in late pregnancy, labor pain, number of hours at home in labor, and admitting cervical dilation. The number of management strategies used was related to pain scores during labor before hospital admission. Women who spent longer periods of time at home in labor arrived at the hospital with a greater cervical dilation.
Antenatal characteristics influence intrapartal outcomes in nulliparas. Labor environment, at home and in the hospital, is recognized as an important component of the first childbirth experience.
描述初产妇妊娠晚期的分娩焦虑水平和自我效能感，并确定这些变量、院前分娩疼痛、管理策略和入院状态之间的关系。
一项纵向描述性研究。
35名年龄在18至40岁之间、孕周大于或等于38周、妊娠情况正常的讲英语的初产妇。所有参与者均有重要他人（丈夫或伴侣）陪伴，并参加了分娩教育课程。
斯皮尔伯格特质焦虑量表、产前自我评估问卷、分娩自我效能量表、麦吉尔疼痛问卷简表、产后访谈以及病历审查。
产前焦虑与妊娠晚期的分娩自我效能感、分娩疼痛、在家分娩的时长以及入院时的宫颈扩张程度显著相关。所采用的管理策略数量与入院前分娩期间的疼痛评分相关。在家分娩时间较长的女性入院时宫颈扩张程度更大。
产前特征会影响初产妇的产时结局。家庭和医院的分娩环境被认为是首次分娩体验的重要组成部分。
