Pierre F
Service de gynécologie obstétrique et médecine de la reproduction, université de Poitiers, CHU de Poitiers, 2, rue de la Milétrie, CS 90577, 86021 Poitiers cedex, France.
Gynecol Obstet Fertil Senol. 2018 Dec;46(12):986-993. doi: 10.1016/j.gofs.2018.10.025. Epub 2018 Oct 29.
To analyze literature, rules, and practices concerning woman's information on labour and delivery.
An actualized systematic review of French rules and guidelines, as well as literature, on patient's information, shared decision-making, and patient's autonomy was done.
After a reminder on basis of patient's information, notions on patient's autonomy, consent to care, and shared decision-making are developed. Lastly, the role of information documents and birth plan are clarified, as well as rules and guidelines for an efficient conception of the information documents that will result from the present clinical practice guidelines on perineal prevention and protection in obstetrics.
During pregnancy, and again in the labour room, it is recommended to focus on the woman's expectations and to inform her about the modes of delivery. Because she has seen several healthcare professionals during pregnancy, it is necessary to inquire about the information she has already received in order to adapt further information to her situation and current knowledge. This information can be delivered in several forms and by several sources; it should be completed by individualized oral information provided by the healthcare professionals attending her during her prenatal care and during labour. If the woman wants to develop a birth plan, it should be constructed in a supported process that allows the sharing of her knowledge and expectations and of appropriate information delivered by professionals, ideally beginning with the early prenatal interview and continuing during antenatal consultations and sessions of preparation for childbirth and parenting.
分析有关分娩时女性信息的文献、规则和实践。
对法国关于患者信息、共同决策和患者自主权的规则、指南以及文献进行了最新的系统综述。
在基于患者信息的提醒之后，阐述了关于患者自主权、护理同意和共同决策的概念。最后，阐明了信息文件和分娩计划的作用，以及根据当前产科会阴预防和保护临床实践指南制定有效信息文件的规则和指南。
在孕期以及再次进入产房时，建议关注女性的期望并告知其分娩方式。由于她在孕期见过多位医护人员，有必要询问她已获得的信息，以便根据其情况和现有知识调整进一步提供的信息。该信息可以通过多种形式和多个来源提供；应由在产前护理和分娩期间照料她的医护人员提供个性化口头信息作为补充。如果女性希望制定分娩计划，应以一种支持性的过程来构建，该过程允许分享她的知识和期望以及专业人员提供的适当信息，理想情况下从早期产前问诊开始，并在产前咨询以及分娩和育儿准备课程期间持续进行。
