Department of Midwifery Research - Reproductive, Perinatal and Sexual Health, Lund University, Sweden; Department of Obstetrics and Gynaecology, Helsingborg Lasarett, Sweden.
Department of Women's and Children's Health, Uppsala University, Sweden; Department of Obstetrics and Gynaecology, Södersjukhuset, Sweden.
Women Birth. 2019 Jun;32(3):213-220. doi: 10.1016/j.wombi.2018.08.163. Epub 2018 Sep 11.
Parents' birth experiences affect bonding with their infant, which in turn may influence the child's future health. Parents' satisfaction with childbirth is multi-dimensional and dependent on both expectations and experiences. Increasing involvement of partners in intrapartum care may lead to an assumption that the birthing couple shares attitudes and expectations of intrapartum care. There is a limited knowledge regarding the uniformity of couples' experiences of labour and birth.
To describe and compare uniformity in couples' birth experiences of the quality of intrapartum midwifery care.
A quantitative cross-sectional study nested within a randomised controlled trial. In total 209 healthy primiparous mothers and their partners were recruited. A quality of care index was generated from an on-line questionnaire administered as a follow-up to the randomised controlled trial. Uniformity and differences were identified regarding the coupleś experiences of birth and their preferences for intrapartum care RESULTS: A high level of uniformity between the mothers and their partners was revealed. Birth was a positive experience for 79% of partners and 73% of mothers whom were more likely to have experienced a spontaneous vaginal birth. Partners and mothers with a less positive birth experienced deficiencies regarding: being in control, receiving information about labour progress and midwife's presence in labour room.
Midwives can enhance couples' feeling of being in control during labour and birth by being attentive, present and continuously providing adequate information and emotional support.
父母的分娩经历会影响他们与婴儿的联系，而这反过来又可能影响孩子的未来健康。父母对分娩的满意度是多维度的，既取决于期望，也取决于体验。越来越多的伴侣参与分娩过程可能会导致一种假设，即分娩夫妇共同拥有对分娩过程的态度和期望。关于夫妇分娩经历的一致性，我们的了解有限。
描述并比较夫妇在分娩过程中对助产士护理质量的体验的一致性。
这是一项嵌套在随机对照试验中的定量横断面研究。总共招募了 209 名健康的初产妇及其伴侣。通过在线问卷生成了一个护理质量指数，作为随机对照试验的后续调查。确定了夫妇分娩经历及其对分娩期护理偏好的一致性和差异。
发现母亲和伴侣之间存在高度的一致性。79%的伴侣和 73%的母亲对分娩有积极的体验，他们更有可能经历自然阴道分娩。对分娩体验不那么积极的伴侣和母亲在以下方面存在不足：控制感、获得关于分娩进展的信息以及助产士在分娩室的存在。
助产士可以通过关注、在场并持续提供足够的信息和情感支持，增强夫妇在分娩过程中的控制感。
