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影响负面分娩经历的患病率及因素:一项系统综述。

Prevalence and factors affecting the negative childbirth experiences: a systematic review.

作者信息

Hosseini Tabaghdehi Monirolsadate, Kolahdozan Sakineh, Keramat Afsaneh, Shahhossein Zohreh, Moosazadeh Mahmood, Motaghi Zahra

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Department of Medicine, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

J Matern Fetal Neonatal Med. 2020 Nov;33(22):3849-3856. doi: 10.1080/14767058.2019.1583740. Epub 2019 Mar 12.

DOI:10.1080/14767058.2019.1583740
PMID:30859845
Abstract

Childbirth and its related experiences have the potential physical and psychological effects on women's lives in the short and long term. Many factors play an effective role in the positive and negative childbirth experiences of the mother. This study aimed to examine the prevalence and factors affecting negative labor experiences. The current research reviewed articles related to "childbirth experiences" in international databases (Pub Med - Scopus - Web of Science - Ovid - clinical key - ProQuest - ScienceDirect - the Cochrane Library), and national databases (SID, Magiran, Iranmedex, and Irandoc). A total number of 3654 articles were found after the elimination of repetitive and unrelated articles, 18 articles were evaluated. In this study, 18 studies entered this systematic review, 8 studies examined the prevalence of childbirth experience. The prevalence of negative childbirth experience was 6.8-44%. The factors related to the childbirth experience includes: , such as age, parity, fear, self-efficacy, participation, control, expectations, preparation, and , such as husband support, care provider support, , such as prolonged labor, stimulation and induction, forceps delivery, emergency cesarean section, and the use of analgesics in the mother, low Apgar score and transfer to the NICU in the child. This review showed the varies factors related to childbirth experience, these findings suggest future research through qualitative studies that why they influence the birth experience.

摘要

分娩及其相关经历会在短期和长期对女性的生活产生潜在的生理和心理影响。许多因素在母亲分娩经历的好坏方面发挥着作用。本研究旨在调查不良分娩经历的发生率及相关因素。本研究检索了国际数据库(PubMed - Scopus - Web of Science - Ovid - Clinical Key - ProQuest - ScienceDirect - 考克兰图书馆)和国内数据库(SID、Magiran、Iranmedex和Irandoc)中与“分娩经历”相关的文章。在剔除重复和不相关文章后,共找到3654篇文章,对其中18篇进行了评估。本研究中,18项研究纳入了该系统评价,8项研究调查了分娩经历的发生率。不良分娩经历的发生率为6.8% - 44%。与分娩经历相关的因素包括:个体因素,如年龄、产次、恐惧、自我效能感、参与度、掌控感、期望、准备情况;支持因素,如丈夫的支持、医护人员的支持;分娩过程因素,如产程延长、引产、产钳助产、急诊剖宫产、母亲使用镇痛药、新生儿阿氏评分低以及转入新生儿重症监护病房。本综述显示了与分娩经历相关的多种因素,这些发现建议通过定性研究进一步探究这些因素为何会影响分娩体验。

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