Department of Experimental Psychology, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225, Düsseldorf, Germany.
Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Germany.
Arch Gynecol Obstet. 2019 Jul;300(1):41-47. doi: 10.1007/s00404-019-05150-8. Epub 2019 Apr 11.
In developed countries, around 25% of all births involve labour induction. Studies have indicated that labour induction negatively influences the birth experience as well as the birth process. However, the impact of labour induction when only considering vaginal deliveries has not been studied yet, which was the purpose of the present study.
186 women who gave birth vaginally took part in this prospective study. 95 women gave birth after spontaneous onset of labour (SL-group) and 91 women received a labour induction (LI-group). Eight to 72 h after birth, the women filled in the revised version of the standardised Childbirth Experience Questionnaire, which examines the birth experience in four dimensions (Own Capacity, Perceived Safety, Participation and Professional Support). Medical details regarding birth and fetal outcomes were taken from the medical records.
Birth outcomes (the number of epidural anaesthesia, the duration of birth, birth risks and childbirth injuries) as well as fetal outcomes (APGAR after 1 and 5 min and arterial cord pH) did not differ between the groups. Regarding the subjective birth experience, the LI-group indicated significantly lower values for Perceived Safety and Participation compared to the SL-group, while there were no differences for the dimensions Own Capacity and Professional Support.
Successful labour induction resulting in a vaginal birth did not negatively influence birth and fetal outcomes and only partly affected the women's birth experience. The negative impact of labour induction on the dimensions Perceived Safety and Participation should sensitize midwives in order to provide optimal support.
在发达国家，约 25%的分娩需要引产。研究表明，引产会对分娩体验和分娩过程产生负面影响。然而，目前还没有研究仅考虑阴道分娩时引产的影响，这就是本研究的目的。
本前瞻性研究纳入了 186 名经阴道分娩的妇女。95 名妇女自然临产（SL 组），91 名妇女接受引产（LI 组）。分娩后 8-72 小时，妇女填写了修订版的标准化分娩体验问卷，该问卷从四个维度（自身能力、感知安全、参与度和专业支持）评估分娩体验。分娩和胎儿结局的医疗细节均来自病历。
两组的分娩结局（硬膜外麻醉的数量、分娩时长、分娩风险和分娩损伤）和胎儿结局（1 分钟和 5 分钟时的 APGAR 评分和动脉脐带 pH 值）均无差异。就主观分娩体验而言，LI 组在感知安全和参与度方面的评分明显低于 SL 组，而自身能力和专业支持维度则没有差异。
成功的引产并导致阴道分娩不会对分娩和胎儿结局产生负面影响，仅对产妇的分娩体验产生部分影响。引产对感知安全和参与度的负面影响应引起助产士的重视，以便提供最佳支持。
