Predictors of women's perceptions of the childbirth experience
Predictors of women's perceptions of the childbirth experience
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DOI：
10.1111/j.1552-6909.2007.00203.x
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发表时间：
2008-01-01
影响因子：
1.8
通讯作者：
Hatem, Marie
中科院分区：
文献类型：
--
作者：
Bryanton, Janet;Gagnon, Anita J.;Hatem, Marie
设计：前瞻性队列研究。研究对象：加拿大东部两家医院的产后单位。参与者：652名妇女及其新生儿。资料收集：在产后12至48小时在医院使用自填式问卷和图表回顾收集数据。主要结果测量：使用问卷测量阴道分娩和紧急剖腹产的妇女和计划剖宫产的妇女使用修改后的问卷测量分娩经验对分娩和分娩的态度。结果：在20个预测分娩观念的因素中，最强的是出生类型；意识、放松和控制的程度；伴侣支持的帮助作用；以及出生后与婴儿在一起。结论：在高质量分娩体验的预测因素中，大多数适合护理干预：提高患者的意识、放松和控制；促进伴侣支持；为母亲提供即时与婴儿在一起的机会。
Objective: To determine the factors that predict women's perceptions of the childbirth experience and to examine whether these vary with the type of birth a woman experiences.Design: Prospective cohort study.Setting: The postpartum units of two eastern Canadian hospitals.Participants: Six hundred fifty two women and their newborns.Data Collection: Data were collected in hospital at 12 to 48 hours postpartum using self-report questionnaires and chart review.Main Outcome Measure: Perception of the childbirth experience was measured for women having a vaginal and emergency cesarean birth using the Questionnaire Measuring Attitudes About Labor and Delivery and planned cesarean birth using the Modified Questionnaire Measuring Attitudes About Labor and Delivery.Results: Of the 20 predictors of women's childbirth perceptions, the strongest were type of birth; degree of awareness, relaxation, and control; helpfulness of partner support; and being together with the infant following birth.Conclusions: Of the predictors of a quality birth experience, most were amenable to nursing interventions: enhancement of patient awareness, relaxation, and control; promotion of partner support; and provision of immediate opportunities for women to be with their babies.