School of Psychology, University of Adelaide, Adelaide, South Australia, Australia.
School of Public Health, University of Adelaide, Adelaide, South Australia, Australia.
Midwifery. 2025 Jan;140:104193. doi: 10.1016/j.midw.2024.104193. Epub 2024 Sep 27.
Childbirth satisfaction can impact short and long-term health outcomes. In an Australian-first randomised controlled trial (RCT) (ACTRN1261800006268), two techniques for intrapartum fetal surveillance were compared; ST analysis (STan) as an adjunct to cardiotocography (CTG) compared to CTG alone. The aim was to determine if CTG+STan can reduce emergency caesarean section rates whilst maintaining or improving neonatal outcomes. This study compared women's experiences of and satisfaction with the two techniques of intrapartum fetal surveillance.
N = 970 women were recruitment to the RCT between 2018 and 2021. We invited a consecutive sub-set of women (approximately the first half of the trial participants, n = 527) to complete a questionnaire at eight weeks postnatal. The analysis principle was intention to treat.
Of the n = 527 invited women, n = 207 completed the questionnaire (n = 113/265, CTG+STan; n = 94/265, CTG alone). Birth satisfaction was similar in both arms. Women in the CTG+STan arm reported higher satisfaction with staff competency in monitoring and more likely to disagree that they would prefer different monitoring methods in future labours. Qualitative findings highlighted, the main perceived difference between techniques was the use of the fetal scalp electrode (FSE), always used with CTG+STan and when clinically necessary utilised with CTG. Women viewed the FSE positively, as it allowed for greater mobility.
CTG+STan, provides comparable outcomes in terms of satisfaction with labour experience and monitoring. Findings should inform consumer-based information on electronic fetal surveillance, addressing common misconceptions among women and care providers about the potential use of a FSE.
ANZCTR, ACTRN1261800006268. Registered on 19 January 2018.
分娩满意度会影响母婴的短期和长期健康结果。在澳大利亚首例随机对照试验（RCT）（ACTRN1261800006268）中，对比了两种产时胎儿监测技术；ST 分析（STan）作为胎心监护（CTG）的辅助手段与单独使用 CTG 进行比较。目的是确定 CTG+STan 是否可以在保持或改善新生儿结局的同时降低紧急剖宫产率。本研究比较了两种产时胎儿监测技术的女性体验和满意度。
N=970 名女性于 2018 年至 2021 年被招募入该 RCT。我们邀请了连续的子组女性（大约是试验参与者的前半部分，n=527）在产后八周完成问卷。分析原则为意向治疗。
在 n=527 名受邀女性中，n=207 名完成了问卷（n=113/265，CTG+STan；n=94/265，CTG 单独）。两种干预组的分娩满意度相似。CTG+STan 组的女性对监测人员的能力满意度更高，且更可能不同意在未来的分娩中会选择不同的监测方法。定性研究结果强调，两种技术之间的主要区别是使用胎儿头皮电极（FSE），FSE 总是与 CTG+STan 一起使用，并且在临床需要时与 CTG 一起使用。女性对 FSE 持积极态度，因为它允许更大的活动度。
CTG+STan 在分娩体验和监测满意度方面提供了可比的结果。研究结果应提供基于消费者的电子胎儿监测信息，解决女性和医护人员对 FSE 潜在使用的常见误解。
澳大利亚新西兰临床试验注册中心，ACTRN1261800006268。于 2018 年 1 月 19 日注册。
