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产前对分娩的恐惧作为不良分娩体验的一个风险因素。

Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience.

作者信息

Rúger-Navarrete Azahara, Vázquez-Lara Juana María, Antúnez-Calvente Irene, Rodríguez-Díaz Luciano, Riesco-González Francisco Javier, Palomo-Gómez Rocío, Gómez-Salgado Juan, Fernández-Carrasco Francisco Javier

机构信息

Department of Surgery, Hospiten Estepona, 29689 Estepona, Spain.

Nursing Department, Faculty of Health Sciences of Ceuta, University of Granada, 51001 Ceuta, Spain.

出版信息

Healthcare (Basel). 2023 Jan 18;11(3):297. doi: 10.3390/healthcare11030297.

Abstract

Giving birth is one of the most impressive experiences in life. However, many pregnant women suffer from fear of childbirth (FOC) and experience labour in very different ways, depending on their personality, previous life experiences, pregnancy, and birth circumstances. The aim of this study was to analyse how fear of childbirth affects the childbirth experience and to assess the related consequences. For this, a descriptive cross-sectional study was carried out in a sample of 414 women between 1 July 2021 and 30 June 2022. The Birth Anticipation Scale (BAS) was used to measure fear of childbirth and the Childbirth Experience Questionnaire (CEQ-E) was applied to measure satisfaction with the childbirth experience. Fear of childbirth negatively and significantly predicted the childbirth experience. In addition, women who were more fearful of childbirth were found to have worse obstetric outcomes and a higher likelihood of having a caesarean delivery ( = 0.008 C. I 95%). Fear behaved as a risk factor for the birth experience, so the greater the fear, the higher the risk of having a worse birth experience (OR 1.1). Encouraging active listening and support strategies may increase pregnant women's confidence, thus decreasing their fear of the process and improving their childbirth experience.

摘要

分娩是人生中最令人难忘的经历之一。然而,许多孕妇患有分娩恐惧(FOC),并且根据她们的个性、以往生活经历、怀孕情况和分娩环境,她们的分娩体验也大不相同。本研究的目的是分析分娩恐惧如何影响分娩体验,并评估相关后果。为此,在2021年7月1日至2022年6月30日期间,对414名女性进行了一项描述性横断面研究。使用分娩预期量表(BAS)来测量分娩恐惧,并应用分娩体验问卷(CEQ-E)来测量对分娩体验的满意度。分娩恐惧对分娩体验有显著的负面影响。此外,发现更害怕分娩的女性产科结局更差,剖宫产的可能性更高(P = 0.008,95%置信区间)。恐惧是分娩体验的一个风险因素,因此恐惧越大,分娩体验更差的风险就越高(比值比1.1)。鼓励积极倾听和支持策略可能会增强孕妇的信心,从而减少她们对分娩过程的恐惧,并改善她们的分娩体验。

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