Lopes Fernanda, Nakamura Mary Uchiyama, Nomura Roseli Mieko Yamamoto
Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, São Paulo, São Paulo, Brazil.
Birth. 2021 Jun;48(2):251-256. doi: 10.1111/birt.12534. Epub 2021 Feb 4.
The purpose of this study was to evaluate women's satisfaction with vaginal birth in a public hospital in São Paulo, Brazil.
A total of 372 low-risk postpartum women were interviewed. Maternal satisfaction was measured by the Mackey Childbirth Satisfaction Rating Scale (MCSRS), validated to Brazilian Portuguese. The scale is divided into six subscales: self-evaluation, partner, baby, nursing, physicians, and overall satisfaction. Childbirth care data were related to maternal mobility, shower bath, birth ball exercises, manual massage, and the health care providers assisting delivery.
The MCSRS total score was significantly higher in women living with their partners than those not living with a partner (median 145.5 vs 133.0; P = 0.019), in women with a companion during childbirth than those with no labor support (146.0 vs 136.5; P = 0.047), and in women who early breastfed within the first hour compared with those who did not (146.0 vs 137.0; P = 0.001). Multiple regression identified 'living with partner' (coefficient 6.205; P = 0.043) and 'breastfeeding within the first hour' (coefficient 7.856; P = 0.005) as independent variables that determine the total score of MCSRS.
Our findings indicate that living with one's partner and early initiation of breastfeeding are key factors enhancing satisfaction with vaginal birth in women who received care at a public Brazilian hospital.
本研究旨在评估巴西圣保罗一家公立医院中女性对阴道分娩的满意度。
共对372名低风险产后女性进行了访谈。采用经巴西葡萄牙语验证的麦基分娩满意度量表（MCSRS）来衡量产妇满意度。该量表分为六个子量表：自我评估、伴侣、婴儿、护理、医生以及总体满意度。分娩护理数据与产妇活动能力、淋浴、分娩球运动、手动按摩以及协助分娩的医护人员有关。
与伴侣同住的女性的MCSRS总分显著高于未与伴侣同住的女性（中位数145.5对133.0；P = 0.019），分娩时有陪伴的女性高于无分娩支持的女性（146.0对136.5；P = 0.047），产后一小时内进行早期母乳喂养的女性高于未进行早期母乳喂养的女性（146.0对137.0；P = 0.001）。多元回归分析确定“与伴侣同住”（系数6.205；P = 0.043）和“产后一小时内进行母乳喂养”（系数7.856；P = 0.005）为决定MCSRS总分的独立变量。
我们的研究结果表明，与伴侣同住以及早期开始母乳喂养是提高在巴西一家公立医院接受护理的女性对阴道分娩满意度的关键因素。
