Bélanger-Lévesque Marie-Noëlle, Pasquier Marilou, Roy-Matton Naomé, Blouin Simon, Pasquier Jean-Charles
Université de Sherbrooke, Sherbrooke, Québec, Canada.
BMJ Open. 2014 Feb 24;4(2):e004013. doi: 10.1136/bmjopen-2013-004013.
Maternal satisfaction during the birthing process has been well documented, whereas little is known about the fathers' birth experiences. Our objective was to evaluate and compare the birth satisfaction of mothers and fathers.
Comparative cross-sectional study.
Number of participating centres: one level III maternity centre (2813 births in 2011) in Sherbrooke, Quebec, Canada.
200 mothers and 200 accompanying fathers/mother's partner recruited 12-24 h after the birth over a 6-week period.
The Birth Satisfaction Scale (BSS) was used for the mother, and it was adapted to the father's perspective. Paired-samples t tests were used for comparing mothers and fathers for the BSS global and thematic scores. Multiple linear regressions (forward stepwise method) were made to identify predicting factors of mothers' and fathers' satisfaction.
Global satisfaction scores for mothers (115.5/150) and fathers (114.4/150) were relatively high and similar (p=0.116). The analysis of subthemes showed that more distress during childbirth was reported by mothers (p<0.001), while less support (p<0.001) and care satisfaction (p<0.001) were reported by fathers. The use of epidural anaesthesia during vaginal birth was the sole concordant lower satisfaction predictor. For mothers, other satisfaction predictors were labour length, tearing and type of anaesthesia used in caesarean section. For fathers, lower satisfaction predictors were instrumental delivery, primary caesarean delivery and infant's distress factors after caesarean section.
This study highlights differences in mothers' and fathers' birth satisfaction and in their predictors. It is thus important to take into account the birth experience of each parent and to support parents accordingly by adapting care provision surrounding childbirth. More research on this topic from the prenatal to the postnatal period is suggested, as it might have an impact on parents' satisfaction and on early parenthood experience.
分娩过程中产妇的满意度已有大量记录，而关于准父亲的分娩体验却知之甚少。我们的目的是评估和比较母亲与父亲的分娩满意度。
比较性横断面研究。
参与中心数量：加拿大魁北克省舍布鲁克的一家三级产科中心（2011年有2813例分娩）。
在产后12 - 24小时内，于6周期间招募了200名母亲以及200名陪同的父亲/母亲伴侣。
母亲使用分娩满意度量表（BSS），并根据父亲的视角进行了调整。采用配对样本t检验比较母亲和父亲的BSS总体得分和主题得分。进行多元线性回归（向前逐步法）以确定母亲和父亲满意度的预测因素。
母亲（115.5/150）和父亲（114.4/150）的总体满意度得分相对较高且相似（p = 0.116）。子主题分析表明，母亲报告的分娩时痛苦更多（p < 0.001），而父亲报告的支持更少（p < 0.001）以及护理满意度更低（p < 0.001）。阴道分娩时使用硬膜外麻醉是唯一一致的较低满意度预测因素。对于母亲而言，其他满意度预测因素是产程长度、会阴撕裂以及剖宫产所使用的麻醉类型。对于父亲来说，较低满意度预测因素是器械助产、初次剖宫产以及剖宫产后婴儿的窘迫因素。
本研究突出了母亲和父亲在分娩满意度及其预测因素方面的差异。因此，考虑每位父母的分娩体验并通过调整分娩前后的护理来相应地支持父母非常重要。建议针对此主题从产前到产后进行更多研究，因为这可能会影响父母的满意度以及初为人父母的体验。
