Who Is Well After Childbirth? Factors Related to Positive Outcome
Who Is Well After Childbirth? Factors Related to Positive Outcome
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DOI：
10.1111/birt.12022
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发表时间：
2013-03-01
影响因子：
2.5
通讯作者：
Redshaw, Maggie
中科院分区：
文献类型：
--
作者：
Henderson, Jane;Redshaw, Maggie
分娩后的不良结果与身体健康状况不佳以及缺乏积极的幸福感有关。产后身体健康状况不佳被认为受到所接受的护理、分娩的性质和相关并发症的影响。本研究的目的是评估一系列临床和其他因素对分娩后3个月的积极结果和幸福感的影响。方法本研究使用2010年全国孕产妇调查中的5,000多名妇女的数据，了解她们在分娩后3个月的孕产妇保健和健康状况。积极的结果被定义为妇女报告没有问题，并在调查时感觉非常好。结果在单因素分析中，多个变量与阳性结局显著相关，包括社会人口学、产前、产时和产后因素。在最后的逻辑回归模型中，年轻的母亲，那些没有身体残疾和那些没有或很少产前或产后早期问题，最有可能有积极的结果。其他重要因素包括对怀孕的积极初始反应，未报告产前抑郁症，对分娩和分娩的担忧较少，以及获得有关护理选择的信息。结论：本研究表明，健康、社会和护理因素可能会影响分娩后妇女的积极结局。照顾者必须牢记这些因素，以便为那些可能容易出现不良结果的妇女提供额外的支持。（2013年3月1日）
Background Poor outcomes after childbirth are associated with physical ill health and with an absence of a positive sense of well-being. Postnatally poor physical health is thought to be influenced by the care received, the nature of the birth, and associated complications. The aim of this study was to estimate the effects of a range of clinical and other factors on positive outcome and well-being 3months after childbirth. Methods This study used data on more than 5,000 women from a 2010 National Maternity Survey about their experiences of maternity care, and health and well-being 3months after childbirth. Positive outcome was defined as women reporting no problems and feeling very well at the time of the survey. Results In the univariate analysis, several variables were significantly associated with positive outcome, including sociodemographic, antenatal, intrapartum, and postnatal factors. In the final logistic regression model, young mothers, those without physical disability and those with no or few antenatal or early postnatal problems, were most likely to have positive outcomes. Other significant factors included a positive initial reaction to the pregnancy, not reporting antenatal depression, fewer worries about the labor and birth, and access to information about choices for care. Conclusions This study shows how positive outcomes for women after childbirth may be influenced by health, social, and care factors. It is important for caregivers to bear these factors in mind so that extra support may be made available to those women who are likely to be susceptible to poor outcome. (BIRTH 40:1 March 2013)