Maternal goals for childbirth associated with planned vaginal and planned cesarean birth.
Maternal goals for childbirth associated with planned vaginal and planned cesarean birth.
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与计划的阴道分娩和计划的剖腹产相关的母亲分娩目标。
DOI：
10.1055/s-0031-1280598
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发表时间：
2011
影响因子：
2
通讯作者：
Handa,VictoriaL
中科院分区：
文献类型：
--
作者：
Quiroz,LieschenH;Blomquist,JoanL;Macmillan,Deborah;McCullough,Alexis;Handa,VictoriaL
我们描述了计划剖腹产或阴道分娩的妇女的分娩目标。计划剖腹产或阴道分娩的孕晚期妇女被要求报告多达五个分娩目标。产后评估目标实现情况。基于自由文本的反应，离散的目标类别进行了确定。比较两组的目标和目标达成情况。采用视觉模拟量表评定满意度，并与目标实现情况进行比较。样本包括163名计划阴道分娩的妇女和69名计划剖宫产的妇女。确定了12个目标类别。只有计划阴道分娩的妇女报告说，希望实现与分娩有关的满足感。计划剖腹产的妇女不太可能表达在分娩过程中保持对自己反应的控制的愿望，而更有可能报告希望避免并发症。72名妇女谁实现了所有规定的目标显着更高的平均满意度得分比94名妇女报告，至少有一个目标没有实现（p= 0.001）。计划剖腹产的妇女的目标实现率高于计划阴道分娩的妇女（52.2%比23.1%，p< 0.001）。这项研究进一步了解妇女对剖腹产的态度和成功的分娩经验的定义。
We describe maternal childbirth goals among women planning either cesarean or vaginal birth. Women in the third trimester planning cesarean or vaginal birth were asked to report up to five childbirth goals. Goal achievement was assessed postpartum. Based on free-text responses, discrete goal categories were identified. Goals and goal achievement were compared between the two groups. Satisfaction was rated on a visual analogue scale and was compared with goal achievement. The sample included 163 women planning vaginal birth and 69 women planning cesarean. Twelve goal categories were identified. Only women planning vaginal birth reported a desire to achieve fulfillment related to childbirth. Women planning cesarean were less likely to express a desire to maintain control over their own responses during childbirth and more likely to report a desire to avoid complications. The 72 women who achieved all stated goals reported significantly higher mean satisfaction scores than the 94 women reporting that at least one goal was not achieved (p= 0.001). Goal achievement was higher among women planning cesarean than among those planning vaginal birth (52.2% versus 23.1%, p< 0.001). This research furthers our understanding of women's attitudes regarding cesarean childbirth and definitions of a successful birth experience.
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