Afshar Yalda, Mei Jenny, Fahey Jacqueline, Gregory Kimberly D
J Perinat Educ. 2019 Jan 1;28(1):10-18. doi: 10.1891/1058-1243.28.1.10.
We describe the perception and practices of obstetric providers on birth plans and childbirth education (CBE) classes. Using a national online survey, we collected provider and patient demographics, practice settings, and perceptions. Of 567 surveys, 77% were physicians and 22% were midwives. This cohort believed prenatal care and CBE were predictors of patient satisfaction, while they had unfavorable views of birth plans. Most providers routinely recommended (69.7%) and had favorable views on CBE (84%). Most providers (66.5%) did not recommend birth plans and 31% felt they were predictors of poor obstetrical outcomes. Further research is needed to bridge the gap between provider beliefs and patient desires about their birth experience as well as to understand how to improve childbirth-related patient satisfaction.
我们描述了产科医护人员对分娩计划和分娩教育（CBE）课程的认知与实践。通过一项全国性在线调查，我们收集了医护人员和患者的人口统计学信息、执业环境及认知情况。在567份调查问卷中，77%为医生，22%为助产士。这一群体认为产前护理和CBE是患者满意度的预测因素，而他们对分娩计划持负面看法。大多数医护人员常规推荐CBE（69.7%）且对其持正面看法（84%）。大多数医护人员（66.5%）不推荐分娩计划，31%的人认为分娩计划是不良产科结局的预测因素。需要进一步研究来弥合医护人员信念与患者对分娩体验期望之间的差距，以及了解如何提高与分娩相关的患者满意度。
