Nordeng Hedvig, Eskild Anne, Nesheim Britt-Ingjerd
Department of Pharmacy, School of Pharmacy, University of Oslo, P.O. Box 1068, Blindern, 0318, Oslo, Norway.
Pharm World Sci. 2010 Apr;32(2):206-11. doi: 10.1007/s11096-010-9371-3. Epub 2010 Feb 10.
To investigate factors related to analgesic use after delivery, and especially whether rates of analgesic use were different in a midwife-managed maternity hotel as compared to conventional postnatal wards.
One maternity hotel and two conventional postnatal wards at Ullevål University Hospital in Oslo, Norway.
Data were obtained from hospital records for 804 women with vaginal deliveries.
Postnatal analgesic use.
Overall, approximately half the women used analgesics after vaginal delivery in both conventional postnatal wards and maternity hotel. The factors that were significantly associated with use of analgesics postnatally in multivariate analysis were multiparity, having a non-Western ethnicity, smoking in pregnancy, younger age, instrumental delivery, analgesic use during labour, maternal complications post partum, and duration of postnatal stay 4 days or more.
The use of analgesics is determined by socio-demographic and obstetric factors rather than the organisation of the ward.
调查与产后镇痛药物使用相关的因素，尤其是与传统产后病房相比，在由助产士管理的产妇旅馆中镇痛药物的使用率是否存在差异。
挪威奥斯陆市于勒凡大学医院的一家产妇旅馆和两个传统产后病房。
从804例经阴道分娩的妇女的医院记录中获取数据。
产后镇痛药物的使用情况。
总体而言，在传统产后病房和产妇旅馆中，约有一半的经阴道分娩妇女在产后使用了镇痛药物。在多因素分析中，与产后使用镇痛药物显著相关的因素包括多胎妊娠、非西方族裔、孕期吸烟、年龄较小、器械助产、分娩期间使用镇痛药物、产后产妇并发症以及产后住院时间达4天或更长时间。
镇痛药物的使用取决于社会人口统计学和产科因素，而非病房的组织形式。
