COVID-19 限制措施和其他围产期因素对产妇分娩时控制感的影响：一项前瞻性队列研究。
The effects of COVID-19 restrictions and other perinatal factors on women's sense of control during childbirth: a prospective cohort study.
机构信息
Department of Obstetrics & Gynecology, Maastricht University Medical Centre (MUMC+), Maastricht University, Maastricht, The Netherlands.
School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands.
出版信息
J Psychosom Obstet Gynaecol. 2022 Dec;43(4):464-473. doi: 10.1080/0167482X.2022.2052846. Epub 2022 Mar 23.
BACKGROUND
Restrictions around childbirth, introduced during the COVID-19 pandemic in 2020, could decrease maternal feelings of control during birth. The aim of this study was to compare the sense of control of women who gave birth during the COVID-19 pandemic with women who gave birth before COVID-19. The secondary objective was to identify other factors independently associated with women's sense of control during birth.
METHODS
A prospective cohort study, in a sub-cohort of 504 women from a larger cohort (Continuous Care Trial (CCT), = 992), was conducted. Sense of control was measured by the Labor Agentry Scale (LAS). Perinatal factors independently associated with women's sense of control during birth were identified using multiple linear regression.
RESULTS
Giving birth during the COVID-19 pandemic did not influence women's sense of control during birth. Factors statistically significantly related to women's sense of control were Dutch ethnic background ( 4.787, 95%-CI 1.319 to 8.254), antenatal worry ( - 4.049, 95%-CI -7.516 to -.581), antenatal anxiety ( - 4.677, 95%-CI -7.751 to 1.603) and analgesics during birth ( - 3.672, 95%-CI -6.269 to -1.075).
CONCLUSIONS
Despite the introduction of restrictions, birth during the COVID-19 pandemic was not associated with a decrease of women's sense of control.
背景
2020 年 COVID-19 大流行期间实施的分娩限制可能会降低产妇在分娩过程中的控制感。本研究旨在比较 COVID-19 大流行期间分娩的女性与 COVID-19 之前分娩的女性的控制感。次要目的是确定与女性分娩时控制感相关的其他独立因素。
方法
对来自较大队列（连续护理试验（CCT），n=992）的 504 名女性的子队列进行前瞻性队列研究。使用劳动代理量表（LAS）测量控制感。使用多元线性回归确定与女性分娩时控制感相关的围产期因素。
结果
在 COVID-19 大流行期间分娩并不会影响女性分娩时的控制感。与女性控制感相关的统计学显著因素为荷兰族裔背景（4.787，95%CI 1.319 至 8.254）、产前担忧（-4.049，95%CI -7.516 至 -.581）、产前焦虑（-4.677，95%CI -7.751 至 1.603）和分娩时使用镇痛剂（-3.672，95%CI -6.269 至 -1.075）。
结论
尽管实施了限制，但 COVID-19 大流行期间的分娩与女性控制感的降低无关。
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