de la Fuente Fonnest I, Thranov I R
Amtssygehuset i Gentofte, gynaekologisk-obstetrisk afdeling.
Ugeskr Laeger. 1998 Oct 5;160(41):5939-42.
The purpose of the present study was to examine the benefit of post-partum in-hospital maternity stay among primi- and multipara and to explore the attitude to post-partum in-hospital stay versus outpatient delivery in the future. The study design was a prospective survey with 335 participants. Independent of parity 95% of the women in confinement found it important/very important to be able to have the reassurance and safety of staying on the maternity ward and to be able to obtain help when needed. Concerning future births, 86% of the women in confinement wanted to stay in the hospital post-partum, while 12.5% would consider outpatient delivery, if the same midwife visited them daily at home during the first week. Among the women wanting a future outpatient delivery, there was an excess of women who did not feel that their need for peace and quiet had been fulfilled at the present post-partum in-hospital stay, and the women had needed more help in establishing nursing. Twice as many primi- as third/fourth para wanted a future out-patient delivery. In conclusion, if it were decided to do away with the post-partum maternity in-hospital stay for multiparae due to budget cuts, it would clearly be against the women's wishes. The in-hospital maternity stay was appreciated among all women irrespective of parity.
本研究的目的是探讨初产妇和经产妇产后住院分娩的益处，并探究她们对未来产后住院分娩与门诊分娩的态度。本研究设计为一项前瞻性调查，共有335名参与者。无论胎次如何，95%的产妇认为能够在产科病房获得安心与安全，并在需要时得到帮助非常重要/极其重要。关于未来分娩，86%的产妇希望产后住院，而12.5%的产妇表示，如果在产后第一周有同一位助产士每天上门访视，她们会考虑门诊分娩。在希望未来进行门诊分娩的产妇中，有相当一部分人觉得目前产后住院期间她们对安静环境的需求未得到满足，并且在建立母乳喂养方面她们需要更多帮助。希望未来进行门诊分娩的初产妇人数是经产妇（第三/第四胎次）的两倍。总之，如果因预算削减而决定取消经产妇产后住院分娩，这显然违背了产妇的意愿。所有产妇，无论胎次，都对住院分娩表示满意。
