Catala Patricia, Peñacoba Cecilia, Carmona Javier, Marin Dolores
Psychology, Rey Juan Carlos University, Alcorcón, Spain.
Nursing; Psychology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain.
Women Health. 2020 Feb;60(2):197-211. doi: 10.1080/03630242.2019.1613473. Epub 2019 May 13.
To analyze the influence of maternal personality (big five personality, coping and childbirth expectations) on birth satisfaction. A longitudinal prospective design was used with 116 pregnant women during November 2014-December 2015 at a public hospital (Madrid, Spain) with three assessment stages: first trimester of pregnancy (personality factors), third trimester (childbirth expectations and coping strategies) and 48 hours after childbirth (labor satisfaction). The highest childbirth satisfaction scores were for professional support, support from partner and overall satisfaction. Higher childbirth satisfaction scores were found for vaginal births than for cesarean sections or instrumental births. Childbirth expectation dimensions showed the highest number of associations with childbirth satisfaction. Significant correlations were found between neuroticism and home assessment, agreeableness and environment, and openness to experience and overall satisfaction. Significant positive correlations were found between positive reappraisal and continuity, and negative correlations between avoidance coping and home assessment. Regression analyses showed the predictive role played by the type of birth, and the caregiving environment as childbirth expectation, and positive reappraisal and avoidance as coping strategies. These findings have important implications for health professionals who provide assistance to pregnant women through holistic models which include the assessment and adjustment of childbirth expectations.
分析母亲个性（大五人格、应对方式和分娩期望）对分娩满意度的影响。采用纵向前瞻性设计，于2014年11月至2015年12月期间对一家公立医院（西班牙马德里）的116名孕妇进行研究，共三个评估阶段：孕早期（个性因素）、孕晚期（分娩期望和应对策略）以及产后48小时（分娩满意度）。分娩满意度得分最高的方面是专业支持、伴侣支持和总体满意度。经阴道分娩的分娩满意度得分高于剖宫产或器械助产。分娩期望维度与分娩满意度的关联数量最多。神经质与家庭评估、宜人性与环境以及开放性与总体满意度之间存在显著相关性。积极重新评价与连续性之间存在显著正相关，回避应对与家庭评估之间存在负相关。回归分析表明分娩类型、作为分娩期望的照护环境以及作为应对策略的积极重新评价和回避所起的预测作用。这些发现对通过包括评估和调整分娩期望的整体模式为孕妇提供帮助的卫生专业人员具有重要意义。
