Department of Nursing, University of Alicante. Spain. Cta. San Vicente del Raspeig s/n 03690 San Vicente del Raspeig, Alicante; Department of Nursing Universitat de València. C/Jaume Roig s/n. 46010 Valencia, Spain; Midwife, Hospital Lluis Alcanyis, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Ctra. Xàtiva-Silla, km 2, 46800 Xàtiva, Valencia, Spain.
Department of Nursing, University of Alicante. Spain. Cta. San Vicente del Raspeig s/n 03690 San Vicente del Raspeig, Alicante.
Midwifery. 2023 Sep;124:103748. doi: 10.1016/j.midw.2023.103748. Epub 2023 Jun 2.
In recent years, birth experience has been highlighted by national and international organisations as a relevant value in measuring maternal health care quality. According to a standardised tool, we aimed to assess which clinical indicators had the most significant influence on the birth experience.
This prospective observational study was carried out in fourteen hospitals in eastern Spain. 749 women consented to the collection of birth variables at discharge, and subsequently, at 1-4 months, data were collected on the birth experience as measured by the Spanish version of the Childbirth Experience Questionnaire. Next, a linear regression analysis was performed to determine which clinical birth indicators greatly influence the birth experience measure.
The study sample (n = 749) was predominantly Spanish and primipara, with 19.5% vaginal births. The predictors that emerged in the linear regression model were to have a birth companion (B = 0.250, p = 0.028), drink fluids during labour (B = 0.249, p < 0.001), have early skin-to-skin contact (B = 0.213, p < 0.001) and being transferred to a specialised room for the second stage of labour (B = 0.098, p = 0.016). The episiotomy (B = -0.100, p < 0.015) and having an operative birth (B = -0.128, p < 0.008) showed a negative influence.
Our study supports that intrapartum interventions recommended according to clinical practice guidelines positively influence the mother's birth experience. Episiotomy and operative birth should not be used routinely as they negatively influence the birth experience.
近年来，国际和国家组织都强调了生育经历是衡量母婴保健质量的一个相关指标。我们采用标准化工具，旨在评估哪些临床指标对生育经历的影响最大。
这是一项在西班牙东部 14 家医院进行的前瞻性观察性研究。749 名女性同意在出院时收集分娩变量，随后在 1-4 个月时收集分娩经历数据，使用西班牙版分娩体验问卷进行评估。然后进行线性回归分析，以确定哪些临床分娩指标对生育经历的测量有很大影响。
研究样本（n=749）主要为西班牙裔和初产妇，阴道分娩率为 19.5%。线性回归模型中的预测因素为有分娩陪伴者（B=0.250，p=0.028）、分娩时饮水（B=0.249，p<0.001）、早期皮肤接触（B=0.213，p<0.001）和转移到第二产程专用房间（B=0.098，p=0.016）。会阴切开术（B=-0.100，p<0.015）和剖宫产（B=-0.128，p<0.008）显示出负面影响。
我们的研究支持根据临床实践指南推荐的分娩干预措施对母亲的生育经历有积极影响。会阴切开术和剖宫产不应常规使用，因为它们会对生育经历产生负面影响。
