正常阴道分娩、剖宫产和水中分娩后母亲生活质量的比较。
A Comparison of Mothers' Quality of Life after Normal Vaginal, Cesarean, and Water Birth Deliveries.
作者信息
Kavosi Zahra, Keshtkaran Ali, Setoodehzadeh Fatemeh, Kasraeian Maryam, Khammarnia Mohammad, Eslahi Marzieh
机构信息
Department of Health Services Management, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran;
Department of Obstetrics & Gynecology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran;
出版信息
Int J Community Based Nurs Midwifery. 2015 Jul;3(3):198-204.
BACKGROUND
Assessment of quality of life (QOL) is of paramount importance for improving postpartum QOL which will in turn enhance QOL of mothers, children, individuals, and the community. The present study aimed to evaluate and compare postpartum QOL after Cesarean Section (CS), Normal Vaginal Delivery (NVD), and water birth delivery.
METHODS
This descriptive analytical, cross-sectional study was conducted on postpartum women referred to urban health centers and two public hospitals in 2012-13 in Shiraz, Iran. Overall, 59 women with NVD, 39 with CS, and 39 with water birth, all at 2 months postpartum, were recruited into the study through multi-stage sampling. Postpartum QOL was measured using Short Form Health Survey (SF-36) which hadbeen adapted previously in Iran. Then, the data were analyzed using descriptive statistics and one-way analysis of variance (ANOVA) in SPSS, version 18.
RESULTS
The results showed that the NVD group had the highest mean score in physical health domains; the women with water birth had the highest mean score in mental health domains and total QOL. Regarding postpartum QOL the results of one-way ANOVA showed no statistically significant differences between the three modes of delivery.
CONCLUSION
Women with water birth and NVD had the highest and second highest total QOL mean scores, respectively; women with NVD and water birth experienced better physical health. Thus, providing more information to pregnant women to encourage them to use NVD and water birth is suggested.
背景
生活质量（QOL）评估对于改善产后生活质量至关重要，这反过来又会提高母亲、儿童、个人和社区的生活质量。本研究旨在评估和比较剖宫产（CS）、正常阴道分娩（NVD）和水中分娩后的产后生活质量。
方法
这项描述性分析横断面研究于2012 - 13年在伊朗设拉子的城市健康中心和两家公立医院对产后妇女进行。总体而言，通过多阶段抽样，招募了59名正常阴道分娩、39名剖宫产和39名水中分娩的妇女，均为产后2个月。使用先前在伊朗改编的简短健康调查问卷（SF - 36）测量产后生活质量。然后，在SPSS 18版中使用描述性统计和单因素方差分析（ANOVA）对数据进行分析。
结果
结果显示，正常阴道分娩组在身体健康领域的平均得分最高；水中分娩的妇女在心理健康领域和总体生活质量方面的平均得分最高。关于产后生活质量，单因素方差分析结果显示三种分娩方式之间无统计学显著差异。
结论
水中分娩和正常阴道分娩的妇女的总体生活质量平均得分分别最高和第二高；正常阴道分娩和水中分娩的妇女身体健康状况更好。因此，建议向孕妇提供更多信息以鼓励她们采用正常阴道分娩和水中分娩。
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