Kempe Per, Vikström-Bolin Marie
Department of Obstetrics and Gynaecology, Sundsvall Hospital, Sundsvall, Sweden.
Department of Obstetrics and Gynaecology, Sundsvall Hospital, Sundsvall, Sweden.
Eur J Obstet Gynecol Reprod Biol. 2020 Mar;246:156-159. doi: 10.1016/j.ejogrb.2020.01.041. Epub 2020 Jan 31.
To study the influence of the duration of labour on women's satisfaction with their birthing experience.
All labours and births during a four-year period at a secondary level Hospital were included in a continuous audit of events and outcomes based on the Ten Group Classification System (TGCS). The women scored their overall satisfaction with their birth experience on an ordinal Visual Analog Scale.
1780 nulliparous women with a cephalic fetus at term and spontaneous onset of labour in TGCS Group 1 gave birth during the study period. 1716 had complete data on duration of labour and, of these, 1380 (80,4 %) rated their satisfaction with their birthing experience. Satisfaction with the birthing experience was significantly related to mode of birth, oxytocin augmentation, epidural anaesthesia and to duration of labour. Duration of labour and mode of birth had independent significant statistical effect on the satisfaction with the birthing experience.
Although various aspects of labour management are associated with a negative birth experience, the effect of prolonged labour is independently significant and measures taken to avoid prolonged labour could result in a net benefit to the woman's satisfaction.
研究产程时长对女性分娩体验满意度的影响。
基于十组分类系统（TGCS），对一家二级医院四年期间所有的分娩事件进行持续的事件及结局审计。女性在序贯视觉模拟量表上对其分娩体验的总体满意度进行评分。
在研究期间，TGCS 1组中有1780名单胎头位足月自然发动分娩的初产妇分娩。其中1716名产妇有完整的产程时长数据，其中1380名（80.4%）对其分娩体验进行了满意度评分。分娩体验满意度与分娩方式、缩宫素加强宫缩、硬膜外麻醉及产程时长显著相关。产程时长和分娩方式对分娩体验满意度有独立的显著统计学影响。
尽管分娩管理的各个方面都与负面分娩体验相关，但产程延长的影响具有独立显著性，采取措施避免产程延长可能会给女性的满意度带来净收益。
