DGEPS, ESPUM, University of Montreal, Montreal, Canada; CR-CHUS, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; CR-IUSMM, CIUSSS de l'Est de l'Île de Montréal, Montréal, QC, Canada.
CR-CHUS, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada.
Midwifery. 2022 Nov;114:103451. doi: 10.1016/j.midw.2022.103451. Epub 2022 Aug 6.
No discrete choice experiment study has been conducted to elicit women's preferences for water immersion during labor and birth.
An online survey including sociodemographic questions and choice cards was conducted to explore women's preferences (i.e., factors that may influence their decision). Each participant responded to 12 choice cards with 6 attributes/factors (i.e., birth mode, duration of the labor phase, pain sensation, risk of severe perineal tears, risk of death of the newborn, and newborn general condition). Utilities were estimated using logit, latent class, and hierarchical Bayesian analyses.
A total of 1088 subjects completed the survey in 2019. The risk of death of the newborn was given high priority by women in all but one analyses, while the risk of severe perineal tears was always considered the least important attribute. The latent class analysis clearly revealed three classes of women. The largest class including 52.9% of women was interested in water birth if it could reduce pain and would be risk-free for the newborn. The second class included 30.8% of women interested in water immersion but only during the labor phase. Finally, the third class (16.2%) did not want to consider water immersion during labor and birth, regardless of its risks and benefits. Follow-up questions revealed that many women were interested in water birth only if they could be assured that there would be no risk for the newborn.
This study provided insights in favor of water immersion during labor and birth contingent upon the safety of the procedure for the newborn.
No discrete choice experiment on women's preference for water immersion during childbirth was previously conducted. Six attributes/factors were used for the discrete choice experiment. Water immersion is poorly used in Quebec with only 49 (7.9%) women over 621 with childbirth experience reporting such immersion. A majority of women (70-80%) were in favor of water immersion.
目前尚无离散选择实验研究来探究女性对分娩时水中分娩的偏好。
我们进行了一项在线调查，其中包括社会人口统计学问题和选择卡，以探究女性的偏好（即可能影响其决策的因素）。每位参与者对 12 张包含 6 个属性/因素的选择卡进行了回答（即分娩方式、分娩阶段的持续时间、疼痛感觉、严重会阴撕裂的风险、新生儿死亡的风险和新生儿一般状况）。使用对数、潜在类别和分层贝叶斯分析来估计效用。
共有 1088 名受试者于 2019 年完成了调查。除了一项分析之外，新生儿死亡的风险在所有情况下都被女性赋予了很高的优先级，而严重会阴撕裂的风险总是被认为是最不重要的属性。潜在类别分析清楚地揭示了三类女性。最大的一类女性包括 52.9%，如果水中分娩可以减轻疼痛并且对新生儿没有风险，她们对水中分娩感兴趣。第二类包括 30.8%的女性对水中分娩感兴趣，但只在分娩阶段。最后，第三类（16.2%）无论水中分娩的风险和益处如何，都不想考虑水中分娩。后续问题表明，许多女性只有在可以保证新生儿没有风险的情况下才对水中分娩感兴趣。
本研究提供了一些见解，支持在保证新生儿安全的前提下，在分娩过程中进行水中分娩。
之前没有关于女性对分娩时水中分娩偏好的离散选择实验。本实验使用了 6 个属性/因素进行离散选择实验。在魁北克，水中分娩的应用情况较差，在有分娩经验的 621 名女性中，只有 49 名（7.9%）报告了这种分娩方式。大多数女性（70-80%）赞成水中分娩。
