Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
HERD. 2020 Jul;13(3):198-214. doi: 10.1177/1937586720903689. Epub 2020 Feb 20.
To summarize, categorize, and describe published research on how birthing room design influences maternal and neonate physical and emotional outcomes.
The physical healthcare environment has significant effects on health and well-being. Research indicates that birthing environments can impact women during labor and birth. However, summaries of the effects of different environments around birth are scarce.
We conducted a systematic review, searching 10 databases in 2016 and 2017 for published research from their inception dates, on how birthing room design influences maternal and neonate physical and emotional outcomes, using a protocol agreed a priori. The quality of selected studies was assessed, and data were extracted independently by pairs of authors and described in a narrative analysis.
In total, 3,373 records were identified and screened by title and abstract; 2,063 were excluded and the full text of 278 assessed for analysis. Another 241 were excluded, leaving 15 articles presenting qualitative and quantitative data from six different countries on four continents. The results of the analysis reveal four prominent physical themes in birthing rooms that positively influence on maternal and neonate physical and emotional outcomes: (1) means of distraction, comfort, and relaxation; (2) raising the birthing room temperature; (3) features of familiarity; and (4) diminishing a technocratic environment.
The evidence on how birthing environments affect outcomes of labor and birth is incomplete. There is a crucial need for more research in this field.
总结、分类和描述已发表的关于产房设计如何影响产妇和新生儿身体和情感结果的研究。
物理医疗环境对健康和幸福感有重大影响。研究表明，分娩环境会影响妇女在分娩过程中的体验。然而，关于不同分娩环境影响的综合研究却很少。
我们进行了系统评价，于 2016 年和 2017 年通过 10 个数据库搜索了从其开始日期起发表的关于产房设计如何影响产妇和新生儿身体和情感结果的研究，使用事先达成一致的方案。评估了选定研究的质量，并由两位作者独立提取数据并进行叙述性分析描述。
共确定并筛选了 3373 条记录，标题和摘要；排除了 2063 条，评估了 278 条全文以进行分析。又排除了 241 条，留下了 15 篇文章，这些文章来自四大洲六个不同国家，提供了定性和定量数据。分析结果揭示了产房中四个突出的物理主题，这些主题对产妇和新生儿的身体和情感结果产生积极影响：（1）分散注意力、舒适和放松的手段；（2）提高产房温度；（3）熟悉的特征；（4）减少技术环境。
关于分娩环境如何影响分娩结果的证据并不完整。该领域急需更多的研究。
