Factors associated with labor after cesarean in a prospective cohort.
Factors associated with labor after cesarean in a prospective cohort.
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DOI：
10.1111/birt.12656
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发表时间：
2022-12
影响因子：
2.5
通讯作者：
Kjerulff, Kristen H.
中科院分区：
文献类型：
--
作者：
Attanasio, Laura B.;Paterno, Mary T.;Kjerulff, Kristen H.
本研究的目标是 1) 确定第一次围产期的经历如何影响剖腹产第一胎的个体的出生方式偏好； 2）检查出生方式偏好和其他因素与剖宫产后分娩（LAC）之间的关系。数据来自第一个婴儿研究，这是一个由 3,006 名初产儿组成的前瞻性队列。分析样本包括在 5 年随访期间进行第一次剖腹产和第二次剖腹产的个体 (n=394)。我们使用多变量逻辑回归来研究第一次围产期经历与随后对阴道分娩的偏好之间的关系，以及对阴道分娩的偏好与第二次分娩中 LAC 之间的关系。大约三分之一的样本在未来的分娩中选择阴道分娩，20% 的人选择 LAC。与未来阴道分娩偏好较高几率相关的因素包括对阴道分娩有利的产前态度、第一胎出生后 1 个月时感知到的母婴关系较低、第一胎出生后出现创伤后应激症状，以及在第一胎出生后希望再生育一个以上的孩子。那些喜欢阴道分娩的人，LAC 的几率高出近 8 倍（AOR=7.69，p<0.001）。第一胎出生后的疲劳、第一胎出生后的创伤后应激症状以及剖腹产后阴道分娩的预测几率较高也与较高的 LAC 几率相关。我们的研究结果表明，围绕阴道分娩偏好的形成可能为未来的咨询和共同决策干预提供可修改的目标。
The goals of this study were 1) to determine how experiences in the first perinatal period shape birth mode preference among individuals with a first birth by cesarean; and 2) to examine the relationship between birth mode preference and other factors and subsequent labor after cesarean (LAC). Data are from the First Baby Study, a prospective cohort of 3,006 primiparous individuals. The analytic sample includes individuals with a first cesarean birth and a second birth during the 5 year follow-up period (n=394). We used multivariable logistic regression to examine the relationship between experiences in the first perinatal period and subsequent preference for vaginal birth, and between preference for vaginal birth and LAC in the second birth. About a third of the sample preferred vaginal birth in a future birth, and 20% had LAC. Factors associated with higher odds of future vaginal birth preference were favorable prenatal attitude toward vaginal birth, lower perceived maternal-infant bonding at 1 month after the first birth, post-traumatic stress symptoms following the first birth, and desiring more than 1 additional child after the first birth. Odds of LAC were nearly 8 times higher among those who preferred vaginal birth (AOR=7.69, p<0.001). Fatigue after the first birth, post-traumatic stress symptoms after the first birth, and having higher predicted chances of vaginal birth after cesarean were also associated with higher odds of LAC. Our findings suggest that the formation of preferences around vaginal birth may present a modifiable target for future counseling and shared decision making interventions.
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影响因子：
3.1
作者：
Barger MK;Dunn JT;Bearman S;DeLain M;Gates E
通讯作者：
Gates E
影响因子：
2.3
作者：
Basile Ibrahim B;Kennedy HP;Holland ML
通讯作者：
Holland ML
影响因子：
7.2
作者：
通讯作者：
--
影响因子：
7.2
作者：
通讯作者：
--
影响因子：
9.8
作者：
Grobman WA;Sandoval G;Rice MM;Bailit JL;Chauhan SP;Costantine MM;Gyamfi-Bannerman C;Metz TD;Parry S;Rouse DJ;Saade GR;Simhan HN;Thorp JM Jr;Tita ATN;Longo M;Landon MB;Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
通讯作者：
Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network