Aragon Melissa, Chhoa Erica, Dayan Riki, Kluftinger Amy, Lohn Zoe, Buhler Karen
Department of Family Practice, University of British Columbia, Vancouver BC.
Women's Health Research Institute, Vancouver BC.
J Obstet Gynaecol Can. 2013 Nov;35(11):979-985. doi: 10.1016/S1701-2163(15)30785-4.
A birth plan is a document detailing a woman's preferences and expectations related to labour and delivery. Empirical research exploring the value of birth plans has shown conflicting findings about whether birth plans have a positive or negative effect on labour and delivery, suggesting a need for further study. This study aimed to understand the perspectives of women, health care providers, and support persons regarding the use of birth plans.
A cross-sectional questionnaire was distributed to a convenience sample of expectant or postpartum women, health care providers, and support persons from January 2012 to March 2012 in British Columbia.
In total, 122 women and 110 health care providers and support persons completed the questionnaire. Both women and their attendants viewed the birth plan as being valuable for acting as both a communication and education tool. However, the respondents noted that women may be disappointed or dissatisfied if a birth plan cannot be implemented. The most important elements of a birth plan identified included pain management, comfort measures (e.g., mobility during labour), postpartum preferences (e.g., breastfeeding), atmosphere (e.g., privacy), and birthing beliefs (e.g., cultural views).
This is the first study to identify advantages and disadvantages of using a birth plan as well as the most important aspects of a birth plan from the perspectives of both women and their attendants in Canada. The findings could be applied to optimize the efficacy of birth plans in Canada and potentially internationally as well.
分娩计划是一份详细说明女性对分娩和生产的偏好及期望的文件。探索分娩计划价值的实证研究对于分娩计划对分娩和生产有积极还是消极影响显示出相互矛盾的结果，这表明需要进一步研究。本研究旨在了解女性、医疗保健提供者和支持人员对使用分娩计划的看法。
2012年1月至2012年3月，向不列颠哥伦比亚省的孕妇或产后女性、医疗保健提供者和支持人员的便利样本发放了一份横断面调查问卷。
共有122名女性以及110名医疗保健提供者和支持人员完成了调查问卷。女性及其陪护人员都认为分娩计划作为沟通和教育工具很有价值。然而，受访者指出，如果分娩计划无法实施，女性可能会感到失望或不满。确定的分娩计划最重要的要素包括疼痛管理、舒适措施（例如，分娩时的活动能力）、产后偏好（例如，母乳喂养）、氛围（例如，隐私）和分娩信念（例如，文化观念）。
这是第一项从加拿大女性及其陪护人员的角度确定使用分娩计划的优缺点以及分娩计划最重要方面的研究。这些研究结果可用于优化加拿大分娩计划的效果，甚至可能在国际上也适用。
