Effect of previous miscarriage on the maternal birth experience in the First Baby Study.
Effect of previous miscarriage on the maternal birth experience in the First Baby Study.
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DOI：
10.1111/1552-6909.12216
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发表时间：
2013-07
期刊：
影响因子：
--
通讯作者：
Kjerulff KH
中科院分区：
文献类型：
--
作者：
Bicking Kinsey C;Baptiste-Roberts K;Zhu J;Kjerulff KH
确定流产史是否与分娩经历和/或母亲对随后分娩时自身或婴儿不良结局的恐惧有关。一项前瞻性队列研究的二次分析，第一婴儿研究。在2009年1月至2011年4月期间，年龄在18岁至35岁之间、准备在宾夕法尼亚州生下第一个活产婴儿的女性。在怀孕期间和第一次活产后一个月再次采访了453名在妊娠20周之前报告围产期损失（流产）的孕妇和2401名没有流产史的孕妇。通过电话访谈对不同组的产妇分娩经历和对不良分娩结果的恐惧进行比较。产妇分娩经验得分在有和没有流产史的妇女之间没有显著差异。有流产史的妇女报告说，她们比没有流产史的妇女更担心自己或婴儿的不良出生结果（52.1%比46.6%;p=0.033），然而，在调整混杂因素后，这种关系并不显著。我们的研究结果表明，流产史和分娩经历之间没有关联。对这一主题的进一步研究将是有益的，包括对出生时对不良后果的恐惧的深入检查。然而，护士和助产士可以考虑使用治疗性沟通技术，以确保有流产史的妇女在分娩时得到强烈的情感支持和安慰。
To determine whether a history of miscarriage is related to birth experience and/or maternal fear of an adverse birth outcome for self or infant during a subsequent delivery. Secondary analysis of a prospective cohort study, the First Baby Study. Women aged 18-35 who were expecting to deliver their first live-born infants in Pennsylvania between January 2009 and April 2011. Four hundred fifty-three pregnant women who reported perinatal loss prior to 20 weeks gestation (miscarriage) in a previous pregnancy and 2401 pregnant women without a history of miscarriage were interviewed during pregnancy and again one month after their first live birth. Maternal birth experience and fear of an adverse birth outcome measured via telephone interview were compared across groups. Maternal birth experience scores did not significantly differ between women with and without previous miscarriage. Women with a history of miscarriage reported that they feared an adverse birth outcome for themselves or their infants more frequently than women without a history of miscarriage (52.1% vs. 46.6%; p=0.033), however, this relationship was not significant after adjustment for confounders. Our findings indicate that there is no association between miscarriage history and birth experience. Additional research on this topic would be beneficial including an in-depth examination of fear of adverse outcome during birth. However, nurses and midwives may consider using therapeutic communication techniques to ensure that women with a history of miscarriage receive strong emotional support and reassurance during birth.
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DOI：
10.1177/0884217504270714
发表时间：
2004-11-01
影响因子：
1.8
作者：
Armstrong, DS
通讯作者：
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影响因子：
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作者：
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DOI：
10.1111/j.1552-6909.2009.01069.x
发表时间：
2009-11-01
影响因子：
1.8
作者：
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影响因子：
3.4
作者：
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通讯作者：
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影响因子：
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作者：
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