Role of mode of induction and delivery and women's satisfaction after induction of labour at term: An observational study

被引：1

作者：

Mauri, Paola Agnese ^{[1
,2
]}

Pilloni, Eleonora ^{[3
]}

Stillavato, Silvia ^{[3
]}

Ragusa, Antonio ^{[4
]}

Masturzo, Bianca ^{[5
]}

Trojano, Giuseppe ^{[6
]}

Piteri, Giulia ^{[1
]}

Pegurri, Giorgia ^{[1
]}

Ricci, Elena Delfina ^{[1
]}

Teodoro, Maria Cristina ^{[7
]}

Guardala, Fabio ^{[7
]}

Messina, Alessandro

Svelato, Alessandro ^{[8
]}

Parazzini, Fabio ^{[1
]}

Iurlaro, Enrico ^{[9
]}

Viora, Elsa ^{[10
]}

机构：

[1] Univ Milan, Midwifery Sch, Dept Clin Sci & Community Hlth, Via Manfredo Fanti 6, I-20122 Milan, Italy

[2] Fdn IRCCS CaGranda Osped Maggiore Policlin, SITRA Unit, Via Francesco Sforza 35, I-20122 Milan, Italy

[3] St Anna Hosp, Obstet & Gynecol Dept 3, Corso Spezia 60, I-10126 Turin, Italy

[4] Univ Campus Bio Med Roma, Dept Obstet & Gynecol, Via Alvaro Portillo,21, I-00128 Rome, Italy

[5] Biella Univ Turin, Gen Hosp, Obstet & Gynecol Dept, Via Ponderanesi 2, I-13875 Ponderano, Biella, Italy

[6] Madonna delle Grazie Hosp ASM, Dept Maternal & Child Hlth, Contrada Cattedra Ambulante, I-75100 Matera, Italy

[7] Hosp AO Emergency Cannizzaro, Dept Maternal & Child Hlth, Obstet & Gynecol Unit, Via Messina 829, I-95126 Catania, Italy

[8] Osped Fatebenefratelli Hosp, Gemelli Isola Tiberina, Obstet Pathol Unit, Via Ponte Quattro Capi 39, I-00186 Rome, Italy

[9] Fdn IRCCS CaGranda Osped Maggiore Policlin, Obstet Unit, Via Commenda 12, I-20122 Milan, Italy

[10] Assoc Ostetr & Ginecol Italiani, Via Abamonti 1, I-20129 Milan, Italy

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2023年 / 286卷

关键词：

At -term pregnancy; Satisfaction; Induction of labour; Mode of delivery; PATIENT SATISFACTION; MISOPROSTOL; BIRTH; CARE;

D O I：

10.1016/j.ejogrb.2023.05.012

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This cross-sectional study aimed at evaluating the impact of different modalities of induction of labour (IOL) and delivery on levels of woman' satisfaction. All women aged 18 years or older, who underwent IOL for at-term pregnancy (>= 41 weeks of gestation) in randomly selected days during the study period in 6 participating cen-tres were eligible for the study. The questionnaire investigated women's opinion regarding information about induction, pain control, length of induction, their experience about induction, labour and delivery and their attitude towards induction in a subsequent pregnancy. Women were also asked to fill in the Italian version of the Birth Satisfaction Scale-Revised (BSS-R).A total of 300 women entered the study. The answer to the question about a "positive attitude towards in-duction in a subsequent pregnancy was "absolutely yes" or "yes" respectively in the 77.8%, 52.8% and 48.6% of women who were induced with oral drugs, vaginal drugs and Cook balloon (heterogeneity chi-square p = 0.05). The corresponding values for women who delivered vaginally or by caesarean section (CS) were 63.3% and 36.4% (chi-square p = 0.0009). The mean BSS-R total score was higher among women who underwent IOL with oral drugs than with vaginal drugs (p < 0.0001) or Cook Balloon (p < 0.0001), and among women who delivered vaginally than in those who delivered by CS (p < 0.0001). Women were asked "What do you think is important for a method of induction?": 47.3% (95% CI 41.7%-53.0%) of women answered that "should make the induction as painless as possible", 47.0% (95% CI 41.4%-52.7%) "should induce labour quickly", 44.3% (95% CI 38.8%-50.0%) "should be safe for baby".This study showed that vaginal delivery was associated with a higher rate of satisfaction among induced women. Considering mode of induction, oral drugs were associated with a higher level of satisfaction. Control of pain and quick induction were the most appreciated characteristics.

引用

页码：47 / 51

页数：5

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