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产妇恐惧程度低、中、高的分娩经历：来自“第一个宝宝”研究的结果。

Birth experience in women with low, intermediate or high levels of fear: findings from the first baby study.

机构信息

Department of Medicine, Division of Clinical Epidemiology, Karolinska Institutet, Stockholm, Sweden.

出版信息

Birth. 2013 Dec;40(4):289-96. doi: 10.1111/birt.12065.

DOI:10.1111/birt.12065
PMID:24344710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3868996/
Abstract

BACKGROUND

Fear of childbirth and mode of delivery are two known factors that affect birth experience. The interactions between these two factors are unknown. The aim of this study was to estimate the effects of different levels of fear of birth and mode of delivery on birth experience 1 month after birth.

METHODS

As part of an ongoing prospective study, we interviewed 3,006 women in their third trimester and 1 month after first childbirth to assess fear of birth and birth experience. Logistic regression was performed to examine the interactions and associations between fear of birth, mode of delivery and birth experience.

RESULTS

Compared with women with low levels of fear of birth, women with intermediate levels of fear, and women with high levels of fear had a more negative birth experience and were more affected by an unplanned cesarean section or instrumental vaginal delivery. Compared with women with low levels of fears with a noninstrumental vaginal delivery, women with high levels of fear who were delivered by unplanned cesarean section had a 12-fold increased risk of reporting a negative birth experience (OR 12.25; 95% CI 7.19-20.86). A noninstrumental vaginal delivery was associated with the most positive birth experience among the women in this study.

CONCLUSIONS

This study shows that both levels of prenatal fear of childbirth and mode of delivery are important for birth experience. Women with low fear of childbirth who had a noninstrumental vaginal delivery reported the most positive birth experience.

摘要

背景

分娩恐惧和分娩方式是影响分娩体验的两个已知因素。这两个因素之间的相互作用尚不清楚。本研究旨在评估不同程度的分娩恐惧和分娩方式对分娩后 1 个月分娩体验的影响。

方法

作为一项正在进行的前瞻性研究的一部分，我们在妊娠晚期和首次分娩后 1 个月对 3006 名妇女进行了访谈，以评估分娩恐惧和分娩体验。采用逻辑回归分析评估分娩恐惧、分娩方式与分娩体验之间的相互作用和关联。

结果

与低水平分娩恐惧的妇女相比，中水平和高水平分娩恐惧的妇女分娩体验更消极，更容易受到非计划性剖宫产或器械性阴道分娩的影响。与低水平恐惧且非器械性阴道分娩的妇女相比，高水平恐惧且非计划性剖宫产的妇女报告负面分娩体验的风险增加 12 倍（OR 12.25；95%CI 7.19-20.86）。在本研究中，非器械性阴道分娩与妇女最积极的分娩体验相关。

结论

本研究表明，产前分娩恐惧程度和分娩方式对分娩体验都很重要。低恐惧水平且非器械性阴道分娩的妇女报告的分娩体验最积极。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a210/3868996/13752c964b57/nihms-532982-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a210/3868996/13752c964b57/nihms-532982-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a210/3868996/13752c964b57/nihms-532982-f0001.jpg

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