Helsinki University Hospital, Obstetrics and Gynecology, Haartmaninkatu 2 PL 140, Helsinki, 00029, Finland.
Department of Public Health, University of Helsinki, Helsinki, Finland.
BMC Pregnancy Childbirth. 2022 Jun 23;22(1):508. doi: 10.1186/s12884-022-04830-9.
Childbirth experience has been shown to depend on the mode of delivery. However, it is unclear how labour induction influences the childbirth experience in different modes of delivery. Thus, we assessed the childbirth experience among mothers with spontaneous and induced labours.
A retrospective cohort study.
Childbirths in four delivery hospitals in Helsinki and Uusimaa District, Finland, in 2012-2018.
95051 childbirths excluding elective caesarean sections.
Obstetric data combined to maternal childbirth experience measured by Visual Analogue Scale (VAS) was analysed with univariate linear modelling and group comparisons. The primiparas and multiparas were analysed separately throughout the study due to the different levels of VAS.
Maternal childbirth experience measured by VAS.
The negative effect of labour induction on the childbirth experience was discovered in each mode of delivery. Operative deliveries were perceived more negatively when they were preceded by labour induction. The rate of poor childbirth experience (VAS≤5) was higher for mothers with labour induction (ORs varying from 1.43 to 1.77) except in emergency caesarean sections. The negative effect of labour induction was smaller than the effect of mode of delivery, while successful vaginal delivery with induction (mean=8.00 [95% CI 7.96-8.04], mean=8.50 [8.47-8.53]) was perceived more positive than operational deliveries with spontaneous labour (means≤7.66 [7.61-7.70], means≤7.96 [7.89-8.03]). However, labour induction more than doubled the risk of caesarean section for both primiparas and multiparas.
Labour induction generates more negative experiences for both primiparas and multiparas. The negative effect of labour induction is detected for all modes of delivery, being worst among labour induction resulting in operative delivery. The parturients facing cumulative obstetric interventions require special support and counselling during and after delivery.
分娩经历已被证明取决于分娩方式。然而，目前尚不清楚引产如何影响不同分娩方式下的分娩经历。因此，我们评估了自发性分娩和诱导性分娩的产妇的分娩经历。
回顾性队列研究。
芬兰赫尔辛基和乌西玛地区的 4 家分娩医院，2012-2018 年。
95051 例排除选择性剖宫产的分娩。
将产科数据与通过视觉模拟量表（VAS）测量的产妇分娩体验相结合，进行单变量线性建模和组间比较。由于 VAS 水平不同，在整个研究中分别对初产妇和经产妇进行分析。
通过 VAS 测量的产妇分娩体验。
在每种分娩方式中都发现了引产对分娩体验的负面影响。当引产之前进行手术分娩时，手术分娩的体验更为负面。与无引产的产妇相比，引产的产妇有更高的分娩体验较差（VAS≤5）的发生率（比值比从 1.43 到 1.77 不等），除紧急剖宫产外。引产的负面影响小于分娩方式的影响，而诱导性阴道分娩（平均=8.00[95%CI 7.96-8.04]，平均=8.50[8.47-8.53]）的体验比自发性分娩的手术分娩（均值≤7.66[7.61-7.70]，均值≤7.96[7.89-8.03]）更为积极。然而，引产使初产妇和经产妇的剖宫产风险增加了一倍以上。
引产对初产妇和经产妇都产生了更负面的体验。引产对所有分娩方式都有负面影响，在导致手术分娩的引产中最为严重。面临累积产科干预的产妇在分娩期间和分娩后需要特别的支持和咨询。
