The relationship between body mass index and perceived control over labor.
The relationship between body mass index and perceived control over labor.
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DOI：
10.1186/s12884-023-06063-w
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发表时间：
2023-10-25
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
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体重指数（BMI）升高（≥30 kg/m2）的个体比BMI < 30的个体有更高的围产期精神健康障碍发生率。分娩控制能力下降的个人经历与产后情绪和焦虑障碍的发展有关。然而，没有研究调查BMI和分娩控制经验之间的关系。本研究旨在评估对分娩的感知控制，并比较BMI≥30和BMI < 30的患者。我们对足月分娩（妊娠37-41周）的产后患者的横断面研究进行了二次分析。产后，参与者完成劳动代理量表（LAS），这是一种评估对分娩/分娩的感知控制的有效工具。从患者图表中提取了人口统计、孕产妇健康史和产科/新生儿结局。采用Fisher精确检验对BMI < 30和BMI≥30的患者进行双变量分析。采用Wilcoxon秩和检验比较BMI < 30和BMI≥30患者的连续LAS评分。LAS得分越高，表明对劳动的控制能力越强。然后进行多变量线性回归，以解释先验确定的混杂因素。BMI≥30和BMI < 30的LAS无差异。当按世界卫生组织（WHO）的BMI分类分层时，BMI≥40的患者的LAS评分显著低于BMI < 30的患者（147比163，p = 0.02），然而，在控制了分娩时间和剖宫产后，这一发现不再显著。只有BMI最高的参与者对分娩的控制力下降，在控制了分娩方式和分娩时间后，这一发现不再显著。进一步研究BMI≥30的分娩人群的经历对于理解这一人群围产期情绪障碍风险的增加至关重要。
Individuals with an increased body mass index (BMI) (≥ 30 kg/m2) experience higher rates of perinatal mental health disorders than individuals with BMI < 30. Personal experience of decreased control over labor has been associated with the development postpartum mood and anxiety disorders. However, no studies have investigated the association between BMI and experience of control over labor. This study aimed to assess perceived control over labor and compare patients with BMI ≥ 30 to those with BMI < 30. We performed a secondary analysis of a cross-sectional study of postpartum patients who delivered at term (37–41 weeks gestation). Postpartum, participants completed the Labour Agentry Scale (LAS), a validated tool to assess perceived control over labor/birth. Demographic, maternal health history and obstetric/neonatal outcomes were abstracted from the patient chart. Bivariate analyses were performed between those with BMI < 30 and those with BMI ≥ 30 using Fisher’s exact test. Continuous LAS scores were compared between patients with BMI < 30 and BMI ≥ 30 using Wilcoxon rank-sum tests. Higher LAS scores indicate higher perceived control over labor. Multivariable linear regression was then performed to account for confounding factors identified a priori. There was no difference in LAS between those with BMI ≥ 30 and BMI < 30. When stratified by World Health Organization (WHO) class of BMI, those with BMI ≥ 40 had a significantly lower LAS scores than those with BMI < 30 (147 vs. 163, p = 0.02), however, this finding was no longer significant after controlling for length of labor and cesarean birth. Only participants with the highest BMI experienced decreased control over labor, and this finding was no longer significant after controlling for mode of delivery and length of labor. Further research into the experience of birthing people with BMI ≥ 30 is critical to understand the increased risk of perinatal mood disorders among this population.
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影响因子：
2
作者：
DiTosto, Julia D.;Leziak, Karolina;Badreldin, Nevert
通讯作者：
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10.1080/14767058.2020.1802714
发表时间：
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