Women's Department and Centre for Clinical Research Education, County Council of Värmland, Sweden; Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
Midwifery. 2019 Oct;77:155-164. doi: 10.1016/j.midw.2019.07.006. Epub 2019 Jul 9.
To describe primiparous and multiparous women's labour experiences and their perception of quality of intrapartum care, in relation to background characteristics and length of latent phase of labour prior to admittance to labour ward.
A cross-sectional study.
A middle-sized hospital in a rural county in western part of Sweden.
Primiparous and multiparous women, both low-risk and risk, with a spontaneous onset of labour after gestational week 37+0 were included. In total, n = 1193 women were invited, and n = 757 responded the questionnaire, n = 342 primiparous and n = 415 multiparous women.
The Intrapartal-specific Quality from Patient Perspective (QPP-I), with responses on perceived reality and subjective importance, was used for data collection. QPP-I covers ten factors of quality of care. Background characteristics, length of latent phase of labour, global items about labour experience and items regarding feelings during labour and birth were included. Data were analysed with descriptive and analytic statistics.
All factors in QPP-I were rated higher for subjective importance than perceived reality, except for information about selfcare, for both primi- and multiparous women. Labour experience, perceived reality of quality of care, and feelings were related to length of the latent phase of labour. Primiparous women with a prolonged latent phase (>18 h) had significantly lower scores regarding six out of ten QPP-I factors (PR); Information procedures, Information self-care, Commitment (midwives), Commitment (enrolled nurses), Midwives present, and Partner/ significant others. They scored lower on Experience birth as normal and Safe during labour and birth. The felt less proud and felt more ignored by professionals. Multiparous women with a prolonged latent phase of labour scored significantly lower on one QPP-I factor, Commitment (midwives). They also scored lower on Control over the situation and felt less safe during labour and birth.
Women's perception of quality of intrapartum care, the birth experience and feelings are related to length of the latent phase of labour. Women perceive quality of intrapartum care as being lower than its subjective importance.
A prolonged latent phase of labour can be regarded as a risk factor for a more negative birthing experience.
描述初产妇和经产妇的分娩经历，以及她们对分娩期间护理质量的看法，同时分析这些经历和看法与背景特征和潜伏期长度的关系。
横断面研究。
瑞典西部一个农村县的中型医院。
纳入了自发性进入产程、孕周 37+0 以上、低危和高危的初产妇和经产妇。共有 1193 名妇女受邀，757 名妇女回答了问卷，其中 342 名初产妇，415 名经产妇。
采用分娩特异性患者视角下的护理质量问卷（QPP-I）进行数据收集，该问卷包含感知现实和主观重要性两个方面的内容。QPP-I 涵盖了 10 个护理质量因素。背景特征、潜伏期长度、分娩经历的总体项目以及分娩期间的感受和分娩的项目均包含在内。使用描述性和分析性统计方法进行数据分析。
所有 QPP-I 因素的主观重要性评分均高于感知现实评分，除了初产妇和经产妇的自我护理信息相关因素。分娩经历、护理质量的感知现实和感受与潜伏期长度相关。潜伏期超过 18 小时的初产妇在 QPP-I 的 10 个因素中的 6 个方面（PR）的评分显著较低，这 6 个因素分别是：信息程序、自我护理信息、助产士的承诺、注册护士的承诺、助产士在场、伴侣/重要他人；她们在分娩经历方面的评分也较低，认为分娩正常和分娩期间安全；自我感觉不那么自豪，并且感觉被专业人员忽视更多。潜伏期较长的经产妇在 QPP-I 的一个因素，即助产士的承诺方面，得分显著较低。她们在控制局势方面的得分也较低，并且在分娩期间感觉不太安全。
女性对分娩期间护理质量的感知、分娩经历和感受与潜伏期长度有关。女性对分娩期间护理质量的感知低于其主观重要性。
潜伏期延长可视为分娩体验更消极的一个危险因素。
