Women's birth expectations, are they fulfilled? Findings from a longitudinal Swedish cohort study
Women's birth expectations, are they fulfilled? Findings from a longitudinal Swedish cohort study
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DOI：
10.1016/j.wombi.2015.01.011
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发表时间：
2015-06-01
期刊：
影响因子：
3.8
通讯作者：
Hildingsson, Ingegerd
中科院分区：
文献类型：
--
作者：
Hildingsson, Ingegerd
背景：妇女对生育经验的期望的重要性显示了关于实现的矛盾结果。本研究的目的是描述孕妇的出生期望，并调查这些期望是否得到满足。一个额外的目的是确定是否未实现的期望与模式的出生，使用硬膜外麻醉和出生experience.Methods：本研究调查了一个前瞻性的区域队列研究的1042瑞典语的妇女谁完成了一份问卷调查，在怀孕后期的出生期望，并随访了两个月后出生。正在研究五个领域：伴侣的支持、助产士的支持、控制、参与决策以及助产士在分娩和生产过程中的在场。一个指数相结合的期望和experiences.Results：某些背景特征与期望以及经验。在助产士的支持（平均3.41 vs 3.32），伴侣的支持（平均3.70 vs 3.77）和助产士的存在（平均3.00 vs 3.39）的期望和经验之间存在统计学显著差异。经验“比预期的更糟糕”的决策和控制与分娩方式以外的阴道和五分之四的领域与一个不太积极的出生experience.Conclusion：一些妇女有很高的出生期望，其中一些是履行。对助产士支持的期望不太可能实现，而对伴侣和助产士在场的支持则得到了满足。如果女性的期望没有得到满足，例如变得“比预期的更糟糕”，这与总体分娩体验以及工具或手术分娩方式相关。(C)2015年澳大利亚助产士学院。出版社：Elsevier Australia（Reed International Books Australia Pty Ltd）All rights reserved.
Background: The importance of women's expectations on the experience of birth has shown contradictory results regarding fulfilment. The aim of this study was to describe pregnant women's expectations of birth and to investigate if these expectations were fulfilled. An additional aim was to determine if unfulfilled expectations were related to the mode of birth, use of epidural and the birth experience.Methods: This research investigated a prospective regional cohort study of 1042 Swedish-speaking women who completed a questionnaire about birth expectations in late pregnancy and were followed up with two months after birth. Five areas were under study: support from partner, support from midwife, control, participation in decision making and the midwife's presence during labour and birth. An index combining expectations and experiences was created.Results: Certain background characteristics were associated with expectations as well as experiences. Statistically significant differences were shown between expectations and experiences in support from midwife (mean 3.41 vs 3.32), support from partner (mean 3.70 vs 3.77), and midwife's presence (mean 3.00 vs 3.39). Experiences 'worse than expected' regarding decision making and control were associated with modes of birth other than vaginal and four out of five areas were associated with a less positive birth experience.Conclusion: Some women had high birth expectations of which some were fulfilled. An expectation on support from the midwife was less likely to be achieved, while support from partner and the midwives' presence were fulfilled. If the woman's expectations were not fulfilled, e.g. became 'worse than expected' this was associated with a less positive overall birth experience as well as with instrumental or surgical mode of birth. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.