Jafari Elham, Mohebbi Parvin, Mazloomzadeh Saeideh
Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
Iran J Nurs Midwifery Res. 2017 May-Jun;22(3):219-224. doi: 10.4103/1735-9066.208161.
Women's satisfaction with childbirth is an important measure of the quality of maternity care services. This study aims to address factors related to women's childbirth satisfaction in physiological and routine childbirth groups.
This descriptive-analytical study was conducted among 340 women in physiological and routine childbirth groups in 2012. Women were selected through convenience sampling method in the routine group and by census in the physiological group. Data were collected using a 5-part questionnaire composed of demographic and obstetrics details, Mackey's Childbirth Satisfaction Rating Scale (CSRS), satisfied with birth setting, Labor Agentry Scale (LAS), and Visual Analogue Scale (VAS), which was completed by interview 24 hours after childbirth. Data were analyzed using the Statistical Package for the Social Sciences version 18 software using Pearson correlation test, independent -test, analysis of variance, and linear, multivariate regression model at the significant level of < 0.05.
In both the physiological and routine childbirth groups, satisfaction was found related to the severity of pain ( < 0.05), self-control ( < 0.0001), and birth setting satisfaction ( < 0.0001). In the physiological group, satisfaction was significantly related to previous knowledge of childbirth ( = 0.024), attitude toward the recent pregnancy ( = 0.007), and perceived severity of pain ( = 0.016). However, in the routine group, satisfaction was related only to intentional pregnancy ( = 0.002). In neither group, satisfaction was related to demographic characteristics, maternal parity, and participation in pregnancy and childbirth classes or maternal feelings toward the onset of childbirth ( > 0.05).
Improved physical structure and setting of birth room, nonmedical pain relief, mothers' involvement in the process of labor, and sense of being in control are associated with mothers' satisfaction.
女性对分娩的满意度是衡量产科护理服务质量的一项重要指标。本研究旨在探讨生理分娩组和常规分娩组中与女性分娩满意度相关的因素。
2012年，对340名生理分娩组和常规分娩组的女性进行了这项描述性分析研究。常规组采用便利抽样法选取女性，生理组采用普查法选取。通过一份由人口统计学和产科详细信息、麦基分娩满意度量表（CSRS）、对分娩环境的满意度、分娩代理量表（LAS）和视觉模拟量表（VAS）组成的五部分问卷收集数据，该问卷在产后24小时通过访谈完成。使用社会科学统计软件包第18版软件进行数据分析，采用Pearson相关检验、独立样本t检验、方差分析以及线性、多元回归模型，显著性水平为<0.05。
在生理分娩组和常规分娩组中，满意度均与疼痛程度（<0.05）、自我控制感（<0.0001）以及对分娩环境的满意度（<0.0001）相关。在生理分娩组中，满意度与既往分娩知识（=0.024）、对近期妊娠的态度（=0.007）以及感知到的疼痛程度（=0.016）显著相关。然而，在常规分娩组中，满意度仅与计划妊娠（=0.002）相关。在两组中，满意度均与人口统计学特征、产妇胎次、参加妊娠和分娩课程情况或产妇对分娩开始的感受无关（>0.05）。
改善产房的物理结构和环境、非药物性疼痛缓解、母亲参与分娩过程以及掌控感与母亲的满意度相关。
