Sparks Teresa N, Yeaton-Massey Amanda, Granados Jesus M, Handler Stephanie J, Meyer Michelle, Caughey Aaron B
Department of Obstetrics and Gynecology, University of California, San Francisco, California.
Department of Obstetrics and Gynecology, Stanford University, Stanford, California.
Am J Perinatol. 2015 Jul;32(8):741-6. doi: 10.1055/s-0034-1395480. Epub 2014 Dec 17.
To investigate how maternal views of delivery outcomes vary by demographic characteristics and preference toward mode of delivery (MOD).
Survey of 719 pregnant women in outpatient clinics at an academic institution during their third trimester. Women ranked outcomes such as vaginal delivery (VD), cesarean delivery (CD), urinary incontinence, perineal lacerations, and induction of labor (IOL) on a visual analog scale (VAS) in order of worst imaginable (0) to best possible (100) outcomes.
Women of all ages ranked VD as more desirable than CD. However, women ≥ 35 years of age had greater valuations of both MOD compared with women <35 years, with mean VAS scores of 88.4 versus 86.4 for VD (p < 0.001) and 61.5 versus 51.9 for CD (p < 0.001). Women with a college education or higher also rated both MOD as more desirable than women with less than a college education. Additionally, women who preferred VD rather than CD had greater valuations of perineal laceration (43.3 vs. 31.5, p = 0.001) and urinary incontinence (40.7 vs. 30.1, p = 0.002).
Significant differences exist in women's views toward MOD and peripartum outcomes, by demographics and preferred MOD. Understanding delivery preferences better enables clinicians to counsel women about labor and management options.
探讨孕妇对分娩结局的看法如何因人口统计学特征和分娩方式偏好而有所不同。
对某学术机构门诊719名孕晚期孕妇进行调查。孕妇按照视觉模拟评分法（VAS）对阴道分娩（VD）、剖宫产（CD）、尿失禁、会阴裂伤及引产（IOL）等结局进行排序，从最糟糕的结局（0）到最好的结局（100）。
各年龄段女性均认为VD比CD更可取。然而，与年龄小于35岁的女性相比，年龄≥35岁的女性对两种分娩方式的评价更高，VD的平均VAS评分为88.4对86.4（p<0.001），CD为61.5对51.9（p<0.001）。接受过大学及以上教育的女性对两种分娩方式的评价也高于未接受过大学教育的女性。此外，偏好VD而非CD的女性对会阴裂伤（43.3对31.5，p = 0.001）和尿失禁（40.7对30.1，p = 0.002）的评价更高。
女性对分娩方式和围产期结局的看法因人口统计学特征和偏好的分娩方式而存在显著差异。更好地了解分娩偏好有助于临床医生为女性提供有关分娩和管理选择的咨询。
