Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI:10.1007/s00404-024-07770-1
Nadine Scholten, Brigitte Strizek, Mi-Ran Okumu, Ibrahim Demirer, Jan Kössendrup, Lissa Haid-Schmallenberg, Malte Bäckmann, Arno Stöcker, Natalie Stevens, Anna Volkert
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Abstract

Introduction: Considering the inconclusive evidence regarding the clinical benefits of specific birthing positions, emphasis has been placed on adhering to women's preferences during the second stage of labour. Therefore, the present study aimed to assess the association between birthing position, the freedom to choose a birth position during the second stage of labour, and women's subjective satisfaction with childbirth.

Methods: We performed a cross-sectional survey of women 8 or 12 months after a vaginal birth in a hospital. The women were recruited via two cooperating health insurance companies. Multivariate analyses were conducted to assess the strength of the association between birthing position and maternal satisfaction with childbirth, with a particular focus on interactions with self-determination.

Results: In total, the data from 761 women were analysed. The supine position was the most frequently reported birthing position in the second stage of labour at 77.5%. Notably, 39.0% and 30.5% of the women who gave birth in the dorsal and lateral supine positions, respectively, stated that the birth position was not chosen voluntarily. The regression models show a significant negative association between supine birthing position and satisfaction with childbirth, which is significantly related to self-determination. The most common reason for the adoption of a specific birthing position was instructions from medical staff.

Discussion: The data provide insight into the perceived satisfaction with childbirth depending on the birthing position, whereby the relevance of self-determination is particularly evident. At the same time, self-determination is often not given, which is associated with reduced birth satisfaction.

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分娩姿势与母亲对分娩的满意度:关于自我决定相关性的横断面研究。
导言:考虑到有关特定分娩体位临床益处的证据尚无定论,人们强调在第二产程中应遵从产妇的喜好。因此,本研究旨在评估分娩体位、第二产程中选择分娩体位的自由度与产妇对分娩的主观满意度之间的关系:我们对在医院经阴道分娩后 8 个月或 12 个月的产妇进行了横断面调查。这些妇女是通过两家合作的医疗保险公司招募的。我们进行了多变量分析,以评估分娩姿势与产妇分娩满意度之间的关联强度,尤其关注与自我决定之间的相互作用:结果:共分析了 761 名产妇的数据。仰卧位是第二产程中最常见的分娩姿势,占 77.5%。值得注意的是,分别有 39.0%和 30.5%采用背仰卧位和侧仰卧位分娩的产妇表示,分娩姿势并非自愿选择。回归模型显示,仰卧位分娩姿势与分娩满意度之间存在明显的负相关,而分娩满意度与自决有很大关系。采用特定分娩姿势的最常见原因是医务人员的指示:讨论:这些数据让我们深入了解了不同分娩姿势对分娩满意度的影响,其中自我决定的相关性尤为明显。与此同时,自主决定权往往不被给予,这与分娩满意度降低有关。
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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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