A study on the predictors of childbirth experience in women with vaginal birth in China

Women and Children Nursing Pub Date : 2024-03-01 DOI:10.1016/j.wcn.2023.10.001

Ya-min Li , Fen Liu , Ce Tian , Qin Zhu , Li-li Song , Hong Zhao

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Abstract

Objective

To investigate the current situation and influencing factors of the childbirth experience of women with vaginal birth in China.

Methods

A total of 481 women were surveyed using a general information questionnaire and a childbirth experience questionnaire.

Results

Significant differences in the scores for childbirth experience were found for 13 factors, including expected mode of delivery, number of births, time since last childbirth, methods used to access information, childbirth-related fear/anxiety, confidence in completing the delivery vaginally, total labor time, mode of delivery, the use of epidural anesthetic, gender preference for the newborn, primary caregiver during hospitalization, and general scores of fathers' childbirth experience. Stepwise multiple linear regression indicated that total labor time, fathers’ general childbirth experience scores, knowledge regarding delivery, delivery-related fear/anxiety, confidence in completing the delivery vaginally, mode of delivery, primary caregiver during hospitalization, and ethnicity explained 25.1% of the variation in responses to the childbirth experience questionnaire.

Conclusion

To improve the childbirth experience, medical and healthcare staff should increase maternal knowledge regarding vaginal delivery, reduce maternal fear and anxiety as well as the use of forceps and lateral incisions, and encourage spouses to be the primary caregivers during hospitalization.

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关于中国阴道分娩妇女分娩经历预测因素的研究

方法使用一般信息问卷和分娩体验问卷对 481 名产妇进行调查。结果在预产方式、分娩次数、距上次分娩时间、获取信息的方法、分娩相关恐惧/焦虑、经阴道分娩的信心、总产程时间、分娩方式、硬膜外麻醉的使用、新生儿性别偏好、住院期间的主要照顾者、父亲分娩经历的一般评分等 13 个因素中，分娩经历的得分存在显著差异。逐步多元线性回归结果表明，总产程时间、父亲的一般分娩经验得分、分娩知识、与分娩有关的恐惧/焦虑、通过阴道分娩的信心、分娩方式、住院期间的主要照顾者和种族解释了 25.1%的差异。结论为改善分娩体验，医护人员应增加产妇对阴道分娩的了解，减少产妇的恐惧和焦虑以及产钳和侧切的使用，并鼓励配偶成为住院期间的主要护理人员。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Women and Children Nursing

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