对在新冠疫情期间参加和未参加分娩课程的女性的焦虑和疼痛程度进行评估。
Assessment of the level of anxiety and pain in women who do and do not attend childbirth classes during the SARS-CoV-2 pandemic.
作者信息
Kuciel Natalia, Sutkowska Edyta, Biernat Karolina, Hap Katarzyna, Mazurek Justyna, Demczyszak Iwona
机构信息
Department and Division of Medical Rehabilitation, Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland.
出版信息
Risk Manag Healthc Policy. 2021 Nov 2;14:4489-4497. doi: 10.2147/RMHP.S311338. eCollection 2021.
INTRODUCTION
Participation in childbirth classes is aimed at learning to cope with the anxiety that accompanies a woman during her pregnancy and childbirth. The aim of the study was to answer the question whether the lack of access to childbirth classes affected anxiety and perinatal pain in pregnant women who gave birth during the pandemic period.
MATERIALS AND METHODS
This cross-sectional survey-based study involved women who were pregnant during the lockdown period. The respondents were asked to fill in the following questionnaires: a personal questionnaire, the Polish version of the Delivery Fear Scale and the Numeric Rating Scale for the assessment of average and maximum pain experienced during the labour. The survey was completed within 24-72 hours after the birth of the child. The obtained questionnaires were divided into 2 groups based on the information concerning attending or not attending childbirth classes (divided into subgroups): group A - patients participated in childbirth classes, and group B - patients did not participate in childbirth classes.
RESULTS
Groups were homogeneous in terms of age, weight, height, body mass index and week of gestation. Perception of anxiety did not differ between groups. There was a correlation between particular formulation of the Delivery Fear Scale and "week of gestation" variable. In the group of women who gave birth naturally without anesthesia, there were no significant differences between groups in terms of mean and maximum pain during labour.
CONCLUSION
The level of anxiety and pain associated with childbirth is not modulated by childbirth classes during the pandemic period. There is s a correlation between particular formulation of the Delivery Fear Scale and "week of gestation" variable. In the group of women who gave birth naturally without anesthesia, there are no significant differences between groups in terms of mean and maximum pain during labour.
引言
参加分娩课程旨在学习应对女性在孕期和分娩期间伴随的焦虑情绪。本研究的目的是回答在大流行期间分娩的孕妇无法参加分娩课程是否会影响其焦虑和围产期疼痛这一问题。
材料与方法
这项基于横断面调查的研究涉及在封锁期间怀孕的女性。要求受访者填写以下问卷：个人问卷、波兰语版分娩恐惧量表以及用于评估分娩期间平均和最大疼痛程度的数字评分量表。调查在孩子出生后的24至72小时内完成。根据是否参加过分娩课程的信息（分为亚组），将获得的问卷分为两组：A组——参加过分娩课程的患者，B组——未参加过分娩课程的患者。
结果
两组在年龄、体重、身高、体重指数和孕周方面具有同质性。两组之间焦虑感的认知没有差异。分娩恐惧量表的特定表述与“孕周”变量之间存在相关性。在自然分娩且未使用麻醉的女性组中，两组在分娩期间的平均疼痛和最大疼痛方面没有显著差异。
结论
在大流行期间，与分娩相关的焦虑和疼痛程度不受分娩课程的调节。分娩恐惧量表的特定表述与“孕周”变量之间存在相关性。在自然分娩且未使用麻醉的女性组中，两组在分娩期间的平均疼痛和最大疼痛方面没有显著差异。
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