Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Nursing, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, Zhejiang, China.
BMJ Open. 2024 Sep 30;14(9):e080481. doi: 10.1136/bmjopen-2023-080481.
To examine the relationship between social support and psychological birth trauma among Chinese primiparous women and the mediating effects of childbirth readiness.
A cross-sectional study was conducted between November 2021 and March 2022.
10 general tertiary hospitals and 3 specialised maternity hospitals in 7 provinces in China.
A total of 751 primiparous women were recruited for this study.
The questionnaires consisted of questions on demographic characteristics, the Birth Trauma Scale, the Chinese Mandarin version of the Medical Outcomes Study Social Support Survey and the Childbirth Readiness Scale. Hierarchical multiple regression was used to explore the associated factors and mediating role of childbirth readiness in the relationship between social support and psychological birth trauma. The mediating model was examined by the PROCESS macro for SPSS.
After adjusting for demographic variables, social support was negatively associated with psychological birth trauma (r=-0.242, p<0.01). Childbirth readiness had a positive correlation with social support (r=0.206, p<0.01) and a negative correlation with psychological birth trauma (r=-0.351, p<0.01). The hierarchical multiple regression model indicated that social support and childbirth readiness explained 3.9% and 7.7% of the variance in psychological birth trauma, respectively. Childbirth readiness partly mediated the association between social support and psychological birth trauma for primiparas.
Childbirth readiness plays a mediating role between social support and psychological birth trauma among primiparas. Strategies and interventions to enhance childbirth readiness levels may be expected to improve the impact of social support on women's psychological birth trauma.
探讨中国初产妇社会支持与心理分娩创伤的关系，以及分娩准备的中介作用。
这是一项在 2021 年 11 月至 2022 年 3 月期间进行的横断面研究。
中国 7 个省的 10 所综合性三级医院和 3 所专业妇产医院。
共有 751 名初产妇参与了这项研究。
问卷包括人口统计学特征、分娩创伤量表、中文版医疗结局研究社会支持量表和分娩准备量表。采用分层多元回归分析探讨分娩准备在社会支持与心理分娩创伤关系中的中介作用。使用 SPSS 的 PROCESS 宏检验中介模型。
在调整人口统计学变量后，社会支持与心理分娩创伤呈负相关（r=-0.242，p<0.01）。分娩准备与社会支持呈正相关（r=0.206，p<0.01），与心理分娩创伤呈负相关（r=-0.351，p<0.01）。分层多元回归模型表明，社会支持和分娩准备分别解释了心理分娩创伤的 3.9%和 7.7%的变异。分娩准备部分中介了社会支持与初产妇心理分娩创伤之间的关系。
分娩准备在初产妇社会支持与心理分娩创伤之间起中介作用。提高分娩准备水平的策略和干预措施可能会改善社会支持对女性心理分娩创伤的影响。
