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剖宫产术后阴道分娩:一项定量研究,探讨希腊女性对剖宫产术后阴道分娩率的理解与经历。

Vaginal birth after cesarean section: A quantitative study exploring women's understanding and experience regarding VBAC rates in Greece.

作者信息

Moysiadou Stefania

机构信息

International Hellenic University, Thessaloniki, Greece.

出版信息

Eur J Midwifery. 2023 Jul 24;7:17. doi: 10.18332/ejm/168253. eCollection 2023.

DOI:10.18332/ejm/168253
PMID:37492268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10364165/
Abstract

INTRODUCTION

Vaginal birth after cesarean section (VBAC) is a choice of birth that provides many advantages for women. This study presents women's VBAC experience in a Greek population. The study's aims were mainly to determine the reasons for choosing VBAC, women's feelings during pregnancy and their experience, and level of post-birth satisfaction.

METHODS

This study is sampling research which has a cross-section retrospect study design. The study was held via the internet due to a self-administered questionnaire which is comprises both open-ended and close-ended questions. Data analysis was performed in S.P.S.S. 20 and Microsoft Excel.

RESULTS

A total number of 473 women participated in this study. The findings showed that during pregnancy and childbirth over 50% of women felt very happy and satisfied, while 35% to 40% felt moderate or no fear at all. Furthermore, 96.48% of them would attempt for a VBAC birth again while 97.36% would recommend this way of delivery to other women. There was a total of 78.85% of succeeded VBAC. The main reason for women to choose VBAC for a birth option were the desire for a normal birth (23.1%), the thought of vaginal birth as the normal way of giving birth (22.4%), to avoid another surgery (14.2%) and to experience a vaginal birth (10%).

CONCLUSIONS

VBAC is an option that needs to be offered more in Greece, and needs improvement in obtaining informed consent in obstetric care services. More studies are required to draw further conclusions.

摘要

引言

剖宫产术后阴道分娩(VBAC)是一种分娩方式,对女性有诸多益处。本研究呈现了希腊人群中女性的VBAC经历。该研究的主要目的是确定选择VBAC的原因、女性孕期感受及经历,以及产后满意度水平。

方法

本研究为抽样研究,采用横断面回顾性研究设计。通过互联网发放包含开放式和封闭式问题的自填问卷进行研究。在SPSS 20和Microsoft Excel中进行数据分析。

结果

共有473名女性参与本研究。结果显示,在孕期和分娩期间,超过50%的女性感到非常开心和满意,而35%至40%的女性感到中度恐惧或完全不恐惧。此外,96.48%的女性会再次尝试VBAC分娩,97.36%的女性会向其他女性推荐这种分娩方式。VBAC成功率总计为78.85%。女性选择VBAC作为分娩方式的主要原因是渴望顺产(23.1%)、认为阴道分娩是正常分娩方式(22.4%)、避免再次手术(14.2%)以及体验阴道分娩(10%)。

结论

在希腊,VBAC是一种需要更多推广的选择,在产科护理服务中获取知情同意方面需要改进。需要更多研究以得出进一步结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4f/10364165/bd1ab97986bf/EJM-7-17-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4f/10364165/bd1ab97986bf/EJM-7-17-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4f/10364165/bd1ab97986bf/EJM-7-17-g001.jpg

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本文引用的文献

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Women's experiences of planning a vaginal birth after caesarean in different models of maternity care in Australia.澳大利亚不同模式的产时保健服务下,妇女计划剖宫产术后阴道分娩的体验。
BMC Pregnancy Childbirth. 2020 Jun 30;20(1):381. doi: 10.1186/s12884-020-03075-8.
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Midwifery. 2020 Sep;88:102766. doi: 10.1016/j.midw.2020.102766. Epub 2020 May 30.
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No. 382-Trial of Labour After Caesarean.第382号——剖宫产术后试产
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A narrative analysis of women's experiences of planning a vaginal birth after caesarean (VBAC) in Australia using critical feminist theory.运用批判女性主义理论对澳大利亚妇女计划剖腹产(VBAC)后阴道分娩经历的叙述分析
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