分娩计划的依从性及其与孕产妇和新生儿结局的关系。
Birth plan compliance and its relation to maternal and neonatal outcomes.
作者信息
Hidalgo-Lopezosa Pedro, Hidalgo-Maestre María, Rodríguez-Borrego Maria Aurora
机构信息
PhD, Researcher, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC).
MSc, RN, Hospital San Juan de Dios, Córdoba, Espain.
出版信息
Rev Lat Am Enfermagem. 2017 Dec 11;25:e2953. doi: 10.1590/1518-8345.2007.2953.
OBJECTIVE
to know the degree of fulfillment of the requests that women reflect in their birth plans and to determine their influence on the main obstetric and neonatal outcomes.
METHOD
retrospective, descriptive and analytical study with 178 women with birth plans in third-level hospital. Inclusion criteria: low risk gestation, cephalic presentation, single childbirth, delivered at term. Scheduled and urgent cesareans without labor were excluded. A descriptive and inferential analysis of the variables was performed.
RESULTS
the birth plan was mostly fulfilled in only 37% of the women. The group of women whose compliance was low (less than or equal to 50%) had a cesarean section rate of 18.8% and their children had worse outcomes in the Apgar test and umbilical cord pH; while in women with high compliance (75% or more), the percentage of cesareans fell to 6.1% and their children had better outcomes.
CONCLUSION
birth plans have a low degree of compliance. The higher the compliance, the better is the maternal and neonatal outcomes. The birth plan can be an effective tool to achieve better outcomes for the mother and her child. Measures are needed to improve its compliance.
目的
了解女性在分娩计划中所反映的需求的满足程度，并确定其对主要产科和新生儿结局的影响。
方法
对一家三级医院的178名有分娩计划的女性进行回顾性、描述性和分析性研究。纳入标准：低风险妊娠、头位、单胎分娩、足月分娩。排除计划性和紧急剖宫产且未临产的情况。对变量进行描述性和推断性分析。
结果
只有37%的女性的分娩计划大部分得到了满足。依从性低（小于或等于50%）的女性组剖宫产率为18.8%，其子女在阿氏评分和脐带血pH值方面的结局较差；而依从性高（75%或更高）的女性中，剖宫产百分比降至6.1%，其子女结局较好。
结论
分娩计划的依从性较低。依从性越高，母婴结局越好。分娩计划可以成为实现母婴更好结局的有效工具。需要采取措施提高其依从性。
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