A comparison of labour and birth experiences of women delivering in a birthing centre and at home in the Netherlands
A comparison of labour and birth experiences of women delivering in a birthing centre and at home in the Netherlands
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DOI：
10.1016/j.midw.2005.12.004
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发表时间：
2006-12-01
期刊：
影响因子：
2.7
通讯作者：
Wiegers, Therese A.
中科院分区：
文献类型：
--
作者：
Borquez, Heather A.;Wiegers, Therese A.
目的：比较无并发症在家分娩和无并发症在分娩中心分娩的产妇在产后1~6个月的禁忌和分娩经历。设计：连续抽样的产后1~6个月的描述性研究。地点：2003年9月至12月在荷兰城市地区从一个分娩中心和三个助产诊所招募的妇女。参与者：193名妇女；结果：居家分娩组感觉到的疼痛较少(居家分娩6.291分，中心分娩6.977分)，对止痛药物的需求较少(居家分娩7.9%，中心分娩21.9%)，认为自己更了解助产士(居家分娩36%，中心分娩10%‘很了解她’)，分娩环境评分高于分娩中心组(居家分娩4.7分，中心分娩4.01分)。此外，分娩中心组强调安全、可获得医疗帮助和便利，而家庭分娩组更重视家庭的可靠和可靠，拥有自己的地方和财物，感觉舒适和放松。关键结论：了解妇女的禁忌和分娩经历有助于卫生保健提供者继续提高产妇护理的质量。环境可以对妇女的出生产生积极的影响
Objective: to compare the tabour and birth experiences of women who delivered at home without complications with the experiences of women who delivered in a birth centre without complications.Design: a descriptive study using postal questionnaires at 1-6 months after birth of a consecutive sample of postpartum women.Setting: women were recruited from one birth centre and three midwifery practices in an urban area of the Netherlands between September and December 2003.Participants: 193 women; 129 delivered at home and 64 delivered in the birth centre.Findings: the home-birth group perceived Less pain (mean score home birth 6.291, birth-centre birth 6.977), desired less pain-relieving medication (home birth 7.9%, birth-centre birth 21.9%), believed they knew their midwife better (home birth 36%, birth-centre birth 10% 'knew her well'), and rated their birth setting 'higher' than the birth-centre group (mean score home birth 4.70, birth-centre birth 4.01). Furthermore, the birth-centre group emphasised safety, having medical help available, and convenience, whereas the home-birth group placed more importance on the home being trustworthy and dependable, having their own place and belongings, and feeling comfortable and relaxed.Key conclusions: having an understanding of a woman's tabour and delivery experience allows health-care providers to continue to improve the quality of maternity care. The environment can have a positive effect on a woman's birth