Counseling and Reproductive Health Research Centre, Department of Midwifery, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Department of Biostatistics , School of Public health, Hamadan University of Medical sciences, Hamadan, Iran.
BMC Pregnancy Childbirth. 2023 Jul 4;23(1):490. doi: 10.1186/s12884-023-05589-3.
Pregnant women experience several changes in their appearance, body shape and body image. In some studies, there has been a relationship between these changes and the type of delivery. This study aimed to investigate the relationship of the prenatal body image and genital image with the mode of delivery preferred by pregnant women in Gorgan in 2020.
In this cross-sectional study, 334 pregnant women were selected by stratified sampling. The Prenatal Body Image Questionnaire (PBIQ), Female Genital Self-Image Scale (FGSIS), pregnant women's preferences for mode of delivery questionnaire (PPMDQ) and DASS-21 were completed on line. The data was analyzed using Spearman test and linear regression.
The average score of PBIQ, FGSIS, and PPMDQ was 68.24 (standard deviation = 17.71), 19.25 (standard deviation = 3.3), and 63.12 (standard deviation = 3.3) respectively. Vaginal delivery as a preferred mode of delivery was inversely correlated with dissatisfaction with body image (r=-0.32, P < 0.001), and directly correlated with satisfaction with the genital image (r = 0.19, P < 0.001). There was a significant inverse correlation between prenatal body image dissatisfaction and genital image satisfaction (r=-0.32, P < 0.001). While FGSIS score could not predict PPMDQ, PBIQ score could.
Satisfaction with the prenatal body image or genital image is associated with the choice of vaginal delivery. These results can be the basis for prenatal care and childbirth counselling.
孕妇在怀孕期间会经历外貌、体型和身体形象的变化。在一些研究中，这些变化与分娩方式之间存在一定关系。本研究旨在调查 2020 年戈尔甘孕妇产前身体形象和生殖器形象与她们偏好的分娩方式之间的关系。
本横断面研究采用分层抽样方法选取了 334 名孕妇。在线完成了产前身体形象问卷（PBIQ）、女性生殖器自我形象量表（FGSIS）、孕妇分娩方式偏好问卷（PPMDQ）和 DASS-21。采用 Spearman 检验和线性回归进行数据分析。
PBIQ、FGSIS 和 PPMDQ 的平均得分分别为 68.24（标准差=17.71）、19.25（标准差=3.3）和 63.12（标准差=3.3）。阴道分娩作为首选分娩方式与对身体形象的不满呈负相关（r=-0.32，P<0.001），与对生殖器形象的满意呈正相关（r=0.19，P<0.001）。产前身体形象不满与生殖器形象满意之间呈显著负相关（r=-0.32，P<0.001）。FGSIS 评分不能预测 PPMDQ，而 PBIQ 评分可以。
对产前身体形象或生殖器形象的满意与选择阴道分娩有关。这些结果可以为产前护理和分娩咨询提供依据。
