Grant Rebekah, Sueda Alexandra, Kaneshiro Bliss
Department of Obstetrics and Gynecology, University of Hawaii, Honolulu, USA.
J Reprod Med. 2010 Jan-Feb;55(1-2):31-5.
To examine the differing views held by patients and medical personnel on outcomes of women with birth plans at the time of labor.
Antepartum patients who were at least 18 years old and English speaking, as well as physicians and nurses in the obstetric field, were asked to complete an anonymous survey on their opinions of the obstetric outcomes of women with birth plans.
Sixty-five percent of medical personnel vs. 2.4% of patients reported that patients with birth plans had overall worse obstetric outcomes than patients without a birth plan. There were 65.7% of health care providers vs, 8.7% of patients who reported that women with a birth plan had an increased rate of cesarean section. In addition, 53.4% of health care providers vs. 9.9% of antepartum patients reported a perceived increased rate of chorioamnionitis for women with birth plans. Statistically significant differences were also found between health care providers and patients in terms of their perceptions of the effect of birth plans on operative vaginal delivery, postpartum hemorrhage, episiotomy and length of hospital stay.
This study revealed a large disparity between health care professionals' and antepartum patients' viewpoints on the obstetric outcomes of women with birth plans, including the rate of cesarean sections and chorioamnionitis.
探讨患者和医务人员对分娩时制定分娩计划的女性结局的不同看法。
对至少18岁且讲英语的产前患者以及产科领域的医生和护士进行调查，要求他们就制定分娩计划的女性的产科结局完成一项匿名调查。
65%的医务人员与2.4%的患者报告称，制定分娩计划的患者总体产科结局比未制定分娩计划的患者更差。65.7%的医疗保健提供者与8.7%的患者报告称，制定分娩计划的女性剖宫产率增加。此外，53.4%的医疗保健提供者与9.9%的产前患者报告称，制定分娩计划的女性绒毛膜羊膜炎发生率增加。在医疗保健提供者和患者对分娩计划对阴道助产、产后出血、会阴切开术和住院时间的影响的看法方面，也发现了统计学上的显著差异。
本研究揭示了医疗保健专业人员和产前患者对制定分娩计划的女性产科结局（包括剖宫产率和绒毛膜羊膜炎）的观点存在很大差异。
