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促进女性积极分娩体验的重要性:一篇观点论文。

The importance of promoting positive childbirth experiences for women: a perspective paper.

作者信息

Karlsdottir Sigfridur Inga, Leap Nicky

机构信息

Faculty of Nursing, University of Akureyri, Akureyri, Iceland.

School of Nursing and Midwifery, University of Technology Sydney, Sydney, NSW, Australia.

出版信息

Front Glob Womens Health. 2025 Jul 17;6:1599249. doi: 10.3389/fgwh.2025.1599249. eCollection 2025.

DOI:10.3389/fgwh.2025.1599249
PMID:40746394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12310697/
Abstract

Childbirth can be a profound and transformative experience, one that embodies complex emotional challenges. Childbirth experiences can have profound and lasting consequences, both positive and negative, shaping a woman's physical, emotional, and psychological well-being. A positive childbirth experience often fosters feelings of empowerment and birth may carry a sense of accomplishment and strength into motherhood. This can enhance bonding with the baby, reduce the likelihood of postpartum depression, and contribute to an overall positive transition into parenting. Supportive environments, effective pain management, and respectful care from healthcare providers play critical roles in creating such experiences. In contrast, a negative childbirth experience can have significant adverse effects. Negative childbirth experiences caused by, for example, a lack of control, disrespectful treatment, or traumatic events during childbirth may lead to feelings of failure, fear, or even post-traumatic stress disorder. These can undermine maternal self-esteem, strain relationships, and hinder the mother-baby bond. Addressing both women's positive and negative childbirth experiences requires providing compassionate, individualised care, fostering open communication, and ensuring that all women feel heard, valued, and supported throughout their childbirth journey. When planning care for women and their families through the childbirth process, it is crucial for health care providers to understand women's perspectives and know how to maximise the likelihood of a positive childbirth experience. This paper explores the significant impact of a positive childbirth experience on a woman's life. It offers perspectives on the importance of recognising and measuring women's childbirth experiences in the ongoing development of maternity service provision.

摘要

分娩可能是一段意义深远且具有变革性的经历,它蕴含着复杂的情感挑战。分娩经历会产生深远而持久的影响,既有积极的,也有消极的,塑造着女性的身体、情感和心理健康。积极的分娩经历通常会增强掌控感,分娩可能会带来成就感和力量感,伴随女性进入为人母的阶段。这可以增进与婴儿的情感联结,降低产后抑郁的可能性,并有助于顺利过渡到为人父母的角色。支持性的环境、有效的疼痛管理以及医护人员的尊重关怀在创造此类经历中起着关键作用。相比之下,消极的分娩经历可能会产生重大的不利影响。例如,分娩过程中缺乏掌控感、受到不尊重的对待或遭遇创伤性事件所导致的消极分娩经历,可能会引发失败感、恐惧,甚至创伤后应激障碍。这些会损害产妇的自尊,使关系紧张,并阻碍母婴情感联结。关注女性积极和消极的分娩经历,需要提供富有同情心的个性化护理,促进开放沟通,并确保所有女性在分娩过程中都能感到被倾听、被重视和得到支持。在为女性及其家庭规划分娩过程中的护理时,医护人员了解女性的观点并知道如何最大程度地增加积极分娩经历的可能性至关重要。本文探讨了积极分娩经历对女性生活的重大影响。它就认识和衡量女性分娩经历在持续发展产科服务中的重要性提供了观点。

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本文引用的文献

1
Birth satisfaction and symptoms of childbirth related PTSD among women in Iceland: A population-based study.冰岛女性的分娩满意度及与分娩相关的创伤后应激障碍症状:一项基于人群的研究。
Sex Reprod Healthc. 2024 Dec;42:101037. doi: 10.1016/j.srhc.2024.101037. Epub 2024 Oct 18.
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Measuring empowerment in pregnant women: A scoping review of progress in instruments.测量孕妇赋权:工具进展的范围综述。
Midwifery. 2024 Jul;134:104002. doi: 10.1016/j.midw.2024.104002. Epub 2024 Apr 22.
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Factors related to a positive childbirth experience - a cross-sectional study.与积极分娩体验相关的因素——一项横断面研究。
J Reprod Infant Psychol. 2024 Apr 10:1-13. doi: 10.1080/02646838.2024.2336141.
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Key dimensions of women's and their partners' experiences of childbirth: A systematic review of reviews of qualitative studies.女性及其伴侣分娩体验的关键维度:定性研究系统评价综述。
PLoS One. 2024 Mar 29;19(3):e0299151. doi: 10.1371/journal.pone.0299151. eCollection 2024.
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Traumatic birth and childbirth-related post-traumatic stress disorder: International expert consensus recommendations for practice, policy, and research.创伤性分娩和与分娩相关的创伤后应激障碍:实践、政策和研究的国际专家共识建议。
Women Birth. 2024 Mar;37(2):362-367. doi: 10.1016/j.wombi.2023.11.006. Epub 2023 Dec 8.
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Childbirth experience questionnaire 2 - Icelandic translation and validation.产妇分娩经历问卷 2-冰岛语翻译与验证。
Sex Reprod Healthc. 2023 Sep;37:100882. doi: 10.1016/j.srhc.2023.100882. Epub 2023 Jun 28.
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Measuring women's empowerment during the perinatal period in high income countries: A scoping review of instruments used.衡量高收入国家围产期妇女赋权情况:所用工具的范围综述
Heliyon. 2023 Mar 24;9(4):e14591. doi: 10.1016/j.heliyon.2023.e14591. eCollection 2023 Apr.
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An integrative review of supportive relationships between child-bearing women and midwives.生育妇女与助产士之间支持性关系的综合评价。
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Developing a woman-centered, inclusive definition of positive childbirth experiences: A discussion paper.制定以女性为中心、包容性的积极分娩体验定义:一篇讨论文件。
Birth. 2023 Jun;50(2):362-383. doi: 10.1111/birt.12666. Epub 2022 Jul 5.
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Developing a woman-centered, inclusive definition of traumatic childbirth experiences: A discussion paper.发展以女性为中心、包容的创伤性分娩体验定义:讨论文件。
Birth. 2022 Dec;49(4):687-696. doi: 10.1111/birt.12634. Epub 2022 Apr 11.