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分娩时疼痛的期望与体验:一项大型前瞻性研究的结果

Expectations and experiences of pain in labor: findings from a large prospective study.

作者信息

Green J M

出版信息

Birth. 1993 Jun;20(2):65-72. doi: 10.1111/j.1523-536x.1993.tb00419.x.

DOI:10.1111/j.1523-536x.1993.tb00419.x
PMID:8240609
Abstract

Data on expectations and experiences of pain in labor are presented from a prospective study of over 700 women who gave birth in six maternity units in southeast England. Most women preferred to keep drug use to a minimum, even though they expected labor to be "quite" or "very" painful. The ideal of avoiding drugs was unrelated to education or social class. Women who preferred to avoid drugs were more likely to do so, and were more satisfied with the birth overall than women who used drugs. In general, women tended to get what they expected. Breathing and relaxation exercises were widely used, and were most successful for those who had expected them to be so. Anxiety about the pain of labor was a strong predictor of negative experiences during labor, lack of satisfaction with the birth, and poor emotional well-being postnatally.

摘要

关于分娩疼痛预期和体验的数据来自一项对700多名在英格兰东南部六个产科病房分娩的女性进行的前瞻性研究。大多数女性倾向于尽量减少药物使用,尽管她们预计分娩会“相当”或“非常”疼痛。避免用药的观念与教育程度或社会阶层无关。比起使用药物的女性,倾向于避免用药的女性更有可能做到这一点,并且对总体分娩过程更满意。一般来说,女性往往会得到她们所期望的。呼吸和放松练习被广泛使用,对那些期望其有效的人最为成功。对分娩疼痛的焦虑是分娩期间负面体验、对分娩不满意以及产后情绪不佳的有力预测指标。

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