Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy; SITRA Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, via Francesco Sforza 35, 20122 Milan, Italy.
Obstetrics and Gynecology Department 3, Sant' Anna Hospital, Corso Spezia 60, 10126 Turin, Italy.
Eur J Obstet Gynecol Reprod Biol. 2023 Jul;286:47-51. doi: 10.1016/j.ejogrb.2023.05.012. Epub 2023 May 13.
This cross-sectional study aimed at evaluating the impact of different modalities of induction of labour (IOL) and delivery on levels of woman' satisfaction. All women aged 18 years or older, who underwent IOL for at-term pregnancy (≥41 weeks of gestation) in randomly selected days during the study period in 6 participating centres were eligible for the study. The questionnaire investigated women's opinion regarding information about induction, pain control, length of induction, their experience about induction, labour and delivery and their attitude towards induction in a subsequent pregnancy. Women were also asked to fill in the Italian version of the Birth Satisfaction Scale-Revised (BSS-R). A total of 300 women entered the study. The answer to the question about a "positive attitude towards induction in a subsequent pregnancy was "absolutely yes" or "yes" respectively in the 77.8%, 52.8% and 48.6% of women who were induced with oral drugs, vaginal drugs and Cook balloon (heterogeneity chi-square p = 0.05). The corresponding values for women who delivered vaginally or by caesarean section (CS) were 63.3% and 36.4% (chi-square p = 0.0009). The mean BSS-R total score was higher among women who underwent IOL with oral drugs than with vaginal drugs (p < 0.0001) or Cook Balloon (p < 0.0001), and among women who delivered vaginally than in those who delivered by CS (p < 0.0001). Women were asked "What do you think is important for a method of induction?": 47.3% (95% CI 41.7%-53.0%) of women answered that "should make the induction as painless as possible", 47.0% (95% CI 41.4%-52.7%) "should induce labour quickly", 44.3% (95% CI 38.8%-50.0%) "should be safe for baby". This study showed that vaginal delivery was associated with a higher rate of satisfaction among induced women. Considering mode of induction, oral drugs were associated with a higher level of satisfaction. Control of pain and quick induction were the most appreciated characteristics.
这项横断面研究旨在评估不同引产方式（IOL）和分娩方式对产妇满意度的影响。所有年龄在 18 岁及以上的产妇，在研究期间的随机选择天数内在 6 个参与中心进行了足月妊娠（≥41 周妊娠）的 IOL，均符合研究条件。问卷调查了产妇对引产相关信息、疼痛控制、引产时间、引产经历、分娩经历以及对后续妊娠引产态度的看法。产妇还被要求填写意大利版修订后的分娩满意度量表（BSS-R）。共有 300 名产妇入组研究。在“对后续妊娠的引产有积极态度”这一问题的回答中，分别有 77.8%、52.8%和 48.6%的口服药物、阴道药物和库克气球引产的产妇回答“完全是”或“是”（异质性卡方检验，p=0.05）。而阴道分娩或剖宫产（CS）的产妇相应的比例为 63.3%和 36.4%（卡方检验，p=0.0009）。口服药物引产的产妇 BSS-R 总分高于阴道药物（p<0.0001）或库克气球（p<0.0001）引产的产妇，而阴道分娩的产妇 BSS-R 总分高于 CS 分娩的产妇（p<0.0001）。产妇被问到“您认为引产方法的哪些方面重要？”47.3%（95%可信区间 41.7%-53.0%）的产妇回答“应该尽可能减轻引产的痛苦”，47.0%（95%可信区间 41.4%-52.7%）的产妇回答“应该快速引产”，44.3%（95%可信区间 38.8%-50.0%）的产妇回答“应该对宝宝安全”。本研究表明，阴道分娩与诱导产妇的更高满意度相关。考虑到引产方式，口服药物与更高的满意度相关。控制疼痛和快速引产是最受产妇赞赏的特点。
