Influence of obstetrical events on satisfaction and anxiety during childbirth: a prospective longitudinal study
Influence of obstetrical events on satisfaction and anxiety during childbirth: a prospective longitudinal study
复制标题
DOI：
10.1080/13548506.2016.1258480
复制
发表时间：
2017-01-01
影响因子：
3.8
通讯作者：
Courvoisier, Delphine
中科院分区：
文献类型：
--
作者：
Floris, Lucia;Irion, Olivier;Courvoisier, Delphine
本研究的目的是调查79名无并发症妊娠的产妇在入院时和出生后的焦虑和满意度，考虑分娩方式、镇痛和疼痛水平。在入院时和分娩后两个月，使用状态-特质焦虑量表（STAI）状态量表和分娩焦虑量表完成问卷。入院时的平均（SD）STAI状态评分（36.7（10.7））高于分娩后4个月（32.1（9.7））（配对Student t检验，t=2.93; df=78; p= 0.004）。产后焦虑与分娩方式、硬膜外麻醉及疼痛无相关性。关于对分娩期间控制期望的满意度，分娩前的平均（SD）评分（166.0（21.8））高于分娩后的平均（SD）评分（157.5（33.5））（配对Student t检验，t=-2.28; df=77; p= 0.03）。分娩体验的满意度与分娩的期望和分娩方式显著相关，但与镇痛或疼痛无关。产后焦虑与产后期间的身体健康、疼痛和爱丁堡产后抑郁量表评分相关。重要的是要考虑围产期焦虑的时间性，以了解其原因。我们的结果表明，在该样本中，分娩经历可以通过产前期望和分娩结果来预测。
The aim of this study was to investigate the feelings of anxiety and satisfaction among 79 primiparas who had uncomplicated pregnancies, at the time of hospital admission and after birth, considering the mode of delivery, analgesia, and pain levels. Questionnaires were completed at admission to the hospital and two months after delivery, using the State-Trait Anxiety Inventory (STAI) state scale and the Labour Agentry Scale. The mean (SD) STAI state score was higher at admission (36.7 (10.7)) than 4months after childbirth (32.1 (9.7)) (paired Student's t-test, t=2.93; df=78; p=.004). However, the postnatal anxiety was not associated with the mode of delivery, epidural or pain. Regarding the satisfaction with the expectations of control during childbirth, the mean (SD) score was higher before childbirth (166.0 (21.8)) than after (157.5 (33.5)) (paired Student's t-test, t=-2.28; df=77; p=.03). The satisfaction with the childbirth experience was significantly associated with the expectations of childbirth and the mode of delivery, but not with analgesia or pain. The postnatal anxiety was associated with physical health, pain and the Edinburgh Postnatal Depression Scale score during the postpartum period. It is important to consider the temporality of perinatal anxiety in order to understand its causes. Our results indicate that the experience of childbirth was predicted in this sample by the antenatal expectations and delivery outcomes.