Brewin C, Bradley C
Br J Clin Psychol. 1982 Nov;21 (Pt 4):263-9. doi: 10.1111/j.2044-8260.1982.tb00564.x.
This study investigated the relationship between women's expectations of control during labour and the experience of childbirth. The women's expectations about their personal ability and about the ability of the staff to exercise control over, labour were examined. It was predicted that women who attended childbirth preparation classes would be less anxious about, and anticipate more control over, labour than non-attenders. Among the attenders, perceived personal control was expected to be related to self-reports of a more satisfying and less painful birth, while among the non-attenders beneficial effects were expected to be associated with greater perceived staff control. It was found that class attendance was associated with enhanced perception of personal and staff control but not with decreased anxiety. Class attendance and perceptions of personal and staff control predicted less painful (but not more satisfying) labour. A multiple regression analysis indicated that in the sample as a whole, perception of staff control was the single best predictor of reported discomfort. As expected, this was not equally true of attenders and non-attenders. Perceived staff control was a better predictor of reported discomfort in non-attenders while among class attenders perceptions of personal control were closely associated with the later reported experience of discomfort.
本研究调查了女性在分娩过程中对控制权的期望与分娩体验之间的关系。研究考察了女性对自身能力以及医护人员对分娩过程进行控制的能力的期望。研究预测，参加分娩准备课程的女性比分娩准备课程的非参加者对分娩的焦虑程度更低，并且预期对分娩过程有更多的控制权。在参加者中，感知到的个人控制权预计与更满意、痛苦更少的分娩自我报告相关，而在非参加者中，有益效果预计与更高的医护人员控制权感知相关。研究发现，参加课程与个人和医护人员控制权感知的增强相关，但与焦虑程度的降低无关。参加课程以及个人和医护人员控制权感知预示着分娩时痛苦更少（但不是更满意）。多元回归分析表明，在整个样本中，医护人员控制权感知是报告不适的唯一最佳预测因素。不出所料，参加者和非参加者的情况并非同样如此。医护人员控制权感知在非参加者中是报告不适的更好预测因素，而在参加课程者中，个人控制权感知与后来报告的不适体验密切相关。
