Pain and women's satisfaction with the experience of childbirth: A systematic review
Pain and women's satisfaction with the experience of childbirth: A systematic review
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DOI：
10.1067/mob.2002.121141
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发表时间：
2002-05-01
影响因子：
9.8
通讯作者：
Hodnett, ED
中科院分区：
文献类型：
--
作者：
Hodnett, ED
目的：总结什么是已知的满意度分娩，特别注意疼痛和疼痛缓解的作用。研究设计：137个报告的影响因素，妇女的分娩经验的评价系统回顾。这些报告包括描述性研究、随机对照试验和产时干预的系统评价。对结果进行了定性总结。四个因素的个人期望，从照顾者的支持量，质量的患者关系，并参与决策似乎是如此重要，他们凌驾于年龄的影响，社会经济地位，种族，分娩准备，物理分娩环境，疼痛，不动，医疗干预，和护理的连续性，当妇女评估他们的分娩经验。疼痛、疼痛缓解和产时医疗干预对后续满意度的影响既不明显、直接，也不像照顾者的态度和行为的影响那么强大。
OBJECTIVE: To summarize what is known about satisfaction with childbirth, with particular attention to the roles of pain and pain relief.STUDY DESIGN: A systematic review of 137 reports of factors influencing women's evaluations of their childbirth experiences. The reports included descriptive studies, randomized controlled trials, and systematic reviews of intrapartum interventions. Results were summarized qualitatively.RESULTS. Four factors-personal expectations, the amount of support from caregivers, the quality of the caregiver-patient relationship, and involvement in decision making-appear to be so important that they override the influences of age, socioeconomic status, ethnicity, childbirth preparation, the physical birth environment, pain, immobility, medical interventions, and continuity of care, when women evaluate their childbirth experiences.CONCLUSION: The influences of pain, pain relief, and intrapartum medical interventions on subsequent satisfaction are neither as obvious, as direct, nor as powerful as the influences of the attitudes and behaviors of tie caregivers.