Sexual and Reproductive Healthcare Services (ASSIR), Catalan Health Institute (ICS), Gran Via de les Corts Catalans, 587, 08006, Barcelona, Spain.
Cap Sant Felix, Carretera de Barcelona 473, 08206, Sabadell Barcelona, Spain.
BMC Pregnancy Childbirth. 2021 Apr 1;21(1):274. doi: 10.1186/s12884-021-03739-z.
The information on birth plan (BP) usage in Spanish hospitals is scant.
To identify the percentage of pregnant women presenting a BP at five hospitals in Spain, the reasons why some women failed to do so and how BP presentation relates to obstetric outcomes and selected pain relief methods.
In this descriptive, multi-centre study, data were retrospectively collected. During the postpartum visits at primary healthcare centres in various health districts in Barcelona (Catalonia, Spain), a data collection sheet about obstetric outcomes and analgesia was administered to 432 mothers who had completed a BP during their pregnancies. The main outcome was the rate of BP presentation to the hospital. The sociodemographic and obstetric characteristics and pain relief measures were compared to identify any differences between mothers who presented a BP and those who did not.
A total of 422 (99.7%) women were studied; 51.2% of women (95% confidence interval (CI): 46.4-55.9) had presented a BP. The main reason for not presenting a BP was because the hospital midwives did not request them (61.2%). No differences were observed in BP presentation according to age, the country of origin, education, employment or hospital. Mothers who presented a BP were more likely to start breastfeeding in the birthing room (82.4% vs. 73.3%; p = 0.024). Epidural analgesia was the most common method used for pain relief (88.9%), and women who presented a BP attempted to use concomitant non-pharmacological methods more often (50.5% vs. 38.8%; p = 0.012).
Almost half of the mothers failed to present a BP, usually because midwives did not request it.
西班牙医院的生育计划（BP）使用信息很少。
确定西班牙五家医院的孕妇 BP 使用率，无法完成 BP 的孕妇的原因，以及 BP 呈现与产科结局和选定的止痛方法的关系。
在这项描述性的多中心研究中，回顾性地收集了数据。在巴塞罗那不同卫生区的基层医疗中心的产后访视中，向 432 名已在孕期完成 BP 的母亲发放了一份关于产科结局和镇痛的数据收集表。主要结局是医院 BP 的呈现率。比较社会人口学和产科特征以及止痛措施，以确定呈现 BP 和不呈现 BP 的母亲之间的任何差异。
共研究了 422 名（99.7%）妇女；51.2%的妇女（95%置信区间（CI）：46.4-55.9）呈现了 BP。不呈现 BP 的主要原因是医院助产士没有要求（61.2%）。根据年龄、原籍国、教育、就业或医院，未观察到 BP 呈现的差异。呈现 BP 的母亲更有可能在分娩室开始母乳喂养（82.4% vs. 73.3%；p=0.024）。硬膜外镇痛是最常用的止痛方法（88.9%），呈现 BP 的妇女更常尝试使用伴随的非药物方法（50.5% vs. 38.8%；p=0.012）。
几乎一半的母亲未能呈现 BP，通常是因为助产士没有要求。
