Women's experiences of childbirth and post-natal healthcare after assisted conception
Women's experiences of childbirth and post-natal healthcare after assisted conception
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DOI：
10.1093/humrep/den166
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发表时间：
2008-07-01
影响因子：
6.1
通讯作者：
Rowe, H. J.
中科院分区：
文献类型：
--
作者：
Hammarberg, K.;Fisher, J. R. W.;Rowe, H. J.
背景：辅助生殖技术（ART）治疗后分娩的妇女比例正在增加。迄今为止，人们对她们的分娩经历知之甚少。本研究的目的之一是调查的经验，分娩和产后保健后，艺术。方法：一个前瞻性的，纵向研究的系统招募的连续队列的妇女谁构思与ART在墨尔本，澳大利亚，在2001年进行了调查，采用电话采访和自我报告问卷。产后3个月进行分娩体验调查。结果：166名通过ART受孕的妇女参加了研究。与其他澳大利亚妇女相比，参与者更有可能进行剖腹产（51%对25%，P < 0.0001）。剖腹产的妇女不太可能报告对分娩的管理有积极的发言权（P < 0.01），出生时抱过婴儿者（P < 0.0001），更有可能报告对出生事件的失望（P < 0.0001）、严重产后疼痛（P = 0.02）和婴儿喂养需要很多帮助或建议（P = 0.001）。结论：ART后，手术分娩率高，这似乎会影响产后早期调整。
BACKGROUND: The proportion of women who give birth after assisted reproduction technology (ART) treatment is increasing. To date, little is known about their experience of childbirth. One of the aims of this study was to investigate the experience of childbirth and the post-natal healthcare after ART. METHODS:A prospective, longitudinal study of a systematically recruited consecutive cohort of women who had conceived with ART in Melbourne, Australia, in 2001 was investigated using telephone interviews and self-report questionnaires. The experience of birth was explored 3 months post-partum. RESULTS: One hundred and sixty-six women who had conceived through ART participated. Compared with other Australian women, participants were more likely to have a Caesarean birth (51% versus 25%, P < 0.0001). Women who had a Caesarean birth were less likely to report having had an active say about the management of the birth (P < 0.01) and to have held their baby at birth (P < 0.0001) and more likely to report disappointment with the birth event (P < 0.0001), severe post-natal pain (P = 0.02) and needing a lot of help or advice with infant feeding (P = 0.001) than those who had a vaginal birth. CONCLUSIONS: After ART, there are highly elevated rates of operative birth which appear to influence early post-natal adjustment.