COVID-19限制和其他围产期因素对妇女分娩控制感的影响:一项前瞻性队列研究

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI:10.1080/0167482X.2022.2052846

Karina Chaibekava, Amber Scheenen, Adrie Lettink, Luc Smits, Josje Langenveld, Rafli van de Laar, Babette Peeters, Sanne Joosten, Marie-Louise Verstappen, Marianne Nieuwenhuijze, Hubertina Scheepers

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引用次数: 0

摘要

背景:2020年COVID-19大流行期间出台的分娩限制措施可能会降低产妇在分娩过程中的控制感。本研究的目的是比较COVID-19大流行期间分娩的妇女与COVID-19之前分娩的妇女的控制感。第二个目标是确定与女性分娩控制感独立相关的其他因素。方法:前瞻性队列研究，从一个更大的队列(持续护理试验(CCT)， n = 992)中选取504名女性进行亚队列研究。控制感采用劳动中介量表(LAS)测量。使用多元线性回归确定与女性分娩控制感独立相关的围产期因素。结果:2019冠状病毒病大流行期间分娩对分娩控制感无影响。与女性控制感相关的因素有荷兰民族背景(β 4.787, 95%-CI 1.319 ~ 8.254)、产前焦虑(β - 4.049, 95%-CI -7.516 ~ - 0.581)、产前焦虑(β - 4.677, 95%-CI -7.751 ~ 1.603)和分娩镇痛(β - 3.672, 95%-CI -6.269 ~ -1.075)。结论:尽管采取了限制措施，但在COVID-19大流行期间分娩与女性控制感的下降无关。

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The effects of COVID-19 restrictions and other perinatal factors on women's sense of control during childbirth: a prospective cohort study.

Background: Restrictions around childbirth, introduced during the COVID-19 pandemic in 2020, could decrease maternal feelings of control during birth. The aim of this study was to compare the sense of control of women who gave birth during the COVID-19 pandemic with women who gave birth before COVID-19. The secondary objective was to identify other factors independently associated with women's sense of control during birth.

Methods: A prospective cohort study, in a sub-cohort of 504 women from a larger cohort (Continuous Care Trial (CCT), n = 992), was conducted. Sense of control was measured by the Labor Agentry Scale (LAS). Perinatal factors independently associated with women's sense of control during birth were identified using multiple linear regression.

Results: Giving birth during the COVID-19 pandemic did not influence women's sense of control during birth. Factors statistically significantly related to women's sense of control were Dutch ethnic background (β 4.787, 95%-CI 1.319 to 8.254), antenatal worry (β - 4.049, 95%-CI -7.516 to -.581), antenatal anxiety (β - 4.677, 95%-CI -7.751 to 1.603) and analgesics during birth (β - 3.672, 95%-CI -6.269 to -1.075).

Conclusions: Despite the introduction of restrictions, birth during the COVID-19 pandemic was not associated with a decrease of women's sense of control.

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.