Department of Social Medicine, Jiangnan University, Wuxi, China.
Artificial intelligence HealthCare Center, Jiangnan University, Wuxi, China.
J Psychosom Obstet Gynaecol. 2023 Dec;44(1):2238892. doi: 10.1080/0167482X.2023.2238892.
In recent years, the Chinese government has implemented measures to address the rising rate of cesarean deliveries and promote vaginal births, with the aim of improving women's childbirth experience. However, non-medically necessary cesarean sections and repeated cesarean sections remain prevalent. This study seeks to explore the correlation between mode of delivery and childbirth experiences. Additionally, it examines the moderating and mediating effects of support from medical staff and women's self-assessment of health on maternal satisfaction across different delivery methods.
This cross-sectional survey was conducted with 140 Chinese mothers who were 1-10 days post-partum at three tertiary hospitals. The mothers were asked to fill out a socio-demographic data form and questionnaires related to women's maternal satisfaction, mode of delivery, self-assessed health, and perception of medical staff support while they were in the hospital after delivery. The data from the questionnaires were analyzed and compared using SPSS 24.0 and PROCESS 3.2.
This study discovered that the mode of delivery (vaginal birth or C-section) and the perception of support from medical staff significantly influenced maternal satisfaction (β = 0.82, = 3.42; β = 0.82, = 10.23). Specifically, women who had a vaginal birth reported higher levels of satisfaction compared to those who had a C-section. The study also found that the perception of medical staff support played a mediating role in this relationship, indicating its influence on women's satisfaction (β = 0.78, = 9.58; indirect effect = 0.43, Boot SE = 0.15; 95% CI= [.12-.73]). Furthermore, women's self-assessed health acted as a moderator in the relationship between the mode of delivery and medical staff support (β = -0.53, t = -2.39; indirect effect = -0.41, Boot SE = 0.19; 95% CI= [-.80-.05]).
The childbirth experience of Chinese women is greatly influenced by factors such as vaginal birth, their perception of care support from medical staff, and their self-assessment of health. This highlights the importance of healthcare professionals providing women-centered maternity services and childbirth education, which can help reduce unnecessary medical intervention and the need for tertiary obstetric care.
近年来，中国政府采取措施应对剖宫产率上升和促进阴道分娩的问题，以改善妇女的分娩体验。然而，非医学必要的剖宫产和重复剖宫产仍然很常见。本研究旨在探讨分娩方式与分娩体验的相关性。此外，还研究了医务人员支持和妇女自我评估健康状况对不同分娩方式下产妇满意度的调节和中介作用。
本横断面调查在三家三级医院对 140 名产后 1-10 天的中国母亲进行。母亲们被要求填写一份社会人口统计学数据表格和与产妇满意度、分娩方式、自我评估健康状况以及对医务人员支持的感知相关的问卷。使用 SPSS 24.0 和 PROCESS 3.2 对问卷数据进行分析和比较。
本研究发现，分娩方式（阴道分娩或剖宫产）和医务人员支持的感知显著影响产妇满意度（β=0.82，=3.42；β=0.82，=10.23）。具体来说，阴道分娩的妇女报告的满意度高于剖宫产的妇女。研究还发现，医务人员支持的感知在这种关系中起中介作用，表明其对妇女满意度的影响（β=0.78，=9.58；间接效应=0.43，Boot SE=0.15；95%置信区间=[.12-.73]）。此外，妇女自我评估的健康状况在分娩方式和医务人员支持之间的关系中起调节作用（β=-0.53，t=-2.39；间接效应=-0.41，Boot SE=0.19；95%置信区间=[-.80-.05]）。
中国妇女的分娩体验受到多种因素的影响，如阴道分娩、对医务人员关怀支持的感知以及自我评估的健康状况。这强调了医疗保健专业人员提供以妇女为中心的产科服务和分娩教育的重要性，这有助于减少不必要的医疗干预和对三级产科护理的需求。
