The Effect of Family Members' Participation during Labor and Delivery on Women's Reproductive Health/Rights -The Relationship between Objective and Subjective Stress on Parturient Women and Their Fetuses

日本妇女分娩时有无家属陪伴的围产期结局比较研究对1011例经阴道分娩的已婚产妇进行了研究。其中609名家属自愿参加分娩，402名家属拒绝参加分娩。从受试者的临床图表中获得身体数据。90%的助产士是她们的丈夫，15.8%的助产士是她们的母亲，42.3%的助产士是她们的孩子。“家庭在场”分娩的孕产妇疾病发生率明显高于“家庭缺席”分娩，但产妇治疗率明显低于“家庭缺席”分娩。这些结果表明，“家庭陪伴”分娩可以保证严格执行临产治疗。因此，加强以家庭为中心的围产期保健工作具有重要意义。 关于我们 家庭成员参与分娩过程中的主观和主观压力我们测定了107例足月妊娠孕妇的静脉血、脐静脉血皮质醇和β-内啡肽水平。血清皮质醇和β-内啡肽浓度在分娩和分娩过程中显著升高，但在分娩后3天恢复到妊娠36-40周的浓度。STAI、产痛与皮质醇水平呈显著正相关。在分娩时家庭成员不在场的产妇中，皮质醇浓度高于家庭成员在场的产妇。特别是这种趋势是显着的，为美国。此外，分娩时无家属陪伴的产妇较其他产妇有更强烈的疲劳、焦虑和产痛。从这些结果可以得出结论，没有家庭成员参与的产妇在分娩和分娩过程中承受着很大的压力。因此，促进家庭成员在分娩和分娩过程中的参与对于产妇来说非常重要。少

Comparison of Perinatal Outcomes between with and without Family Members' Presence during Delivery in Japanese WomenMarried parturients (n=1011) with vaginal birth were subjected to this study. Their family members (n=609) volunteered to be present during labor and delivery, while the rest family members (n=402) declined to be present. Physical data were obtained from subjects' clinical charts. Ninety percent of birth attendants were their husbands for primiparas and multiparas, and 15.8% of their mothers for primiparas, 42.3% of their children for multiparas. Though the rates of pregnant and parturient disorders in the ‘family present' delivery were significantly higher, the rate of parturient treatment was significantly lower than those in the ‘family absent' delivery. These results show that ‘family present' delivery can be guaranteed strict execution of parturient treatments. Therefore, it is important to promote family- centered care for perinatal period.The Relevance between Obje … More ctive and Subjective Stress in the Family Members' Participation during Labor and DeliveryWe measured maternal venous, umbilical venous cortisol and β-endorphin levels of 107 pregnancies at term. Serum cortisol and β-endorphin concentrations rose significantly during labor and delivery but returned to the concentrations of 36-40 wks of gestation by 3 days after delivery. There were significant positive correlations between STAI, labor pain and cortisol levels. In primiparas with family members' absence during birth, cortisol concentrations were higher than those with family members' presence. Especially this tendency was remarkable for the primiparas. Besides, women without family members' presence during delivery had stronger fatigue, anxiety and labor pain than in other cases. From these results, it may be concluded that the primiparas without family members' participation are under much stress during labor and delivery. Therefore, it is important to promote family members' participation during labor and delivery for primiparas. Less