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首页> 外文期刊>Reproductive Health >Creating a positive perception of childbirth experience: systematic review and meta-analysis of prenatal and intrapartum interventions
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Creating a positive perception of childbirth experience: systematic review and meta-analysis of prenatal and intrapartum interventions

机译：建立对分娩经历的积极认识：对产前和产时干预措施的系统评价和荟萃分析

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A negative experience in childbirth is associated with chronic maternal morbidities. The aim of this systematic review and meta-analysis was to identify currently available successful interventions to create a positive perception of childbirth experience which can prevent psychological birth trauma. Randomized controlled trials of interventions in pregnancy or labour which aimed to improve childbirth experience versus usual care were identified from 1994 to September 2016. Low risk pregnant or childbearing women were chosen as the study population. PEDRO scale and Cochrane risk of bias tool were used for quality assessment. Pooled effect estimates were calculated when more than two studies had similar intervention. If it was not possible to include a study in the meta-analysis, its data were summarized narratively. After screening of 7832 titles/abstracts, 20 trials including 22,800 participants from 12 countries were included. Successful strategies to create a positive perception of childbirth experience were supporting women during birth (Risk Ratio?=?1.35, 95% Confidence Interval: 1.07 to 1.71), intrapartum care with minimal intervention (Risk Ratio?=?1.29, 95% Confidence Interval:1.15 to 1.45) and birth preparedness and readiness for complications (Mean Difference?=?3.27, 95% Confidence Interval: 0.66 to 5.88). Most of the relaxation and pain relief strategies were not successful to create a positive birth experience (Mean Difference?=???2.64, 95% Confidence Intervention: ??6.80 to 1.52). The most effective strategies to create a positive birth experience are supporting women during birth, intrapartum care with minimal intervention and birth preparedness. This study might be helpful in clinical approaches and designing future studies about prevention of the negative and traumatic birth experiences.
机译：分娩不良经历与慢性孕产妇发病有关。该系统评价和荟萃分析的目的是确定当前可用的成功干预措施，以建立对分娩经历的积极认识，从而预防心理性出生创伤。从1994年至2016年9月，确定了旨在改善分娩经历而不是常规照护的妊娠或分娩干预措施的随机对照试验。选择低风险孕妇或生育妇女作为研究人群。使用PEDRO量表和Cochrane偏倚风险工具进行质量评估。当两个以上的研究进行了类似的干预时，将汇总效应估计值。如果无法在荟萃分析中纳入研究，则将其数据叙述性地汇总。在筛选了7832个标题/摘要之后，纳入了20个试验，包括来自12个国家的22,800名参与者。成功建立对分娩经历的积极感知的策略是在分娩过程中为妇女提供支持（风险比？= 1.35，95％置信区间：1.07至1.71），进行最少的干预的产妇护理（风险比？=？1.29，95％置信区间） ：1.15至1.45），并为并发症做好出生准备和准备（平均差异== 3.27，95％置信区间：0.66至5.88）。大多数放松和缓解疼痛的策略都不能成功地创造积极的生育经历（平均差= 2.64，95％信心干预：6.80至1.52）。创造积极的分娩经历的最有效策略是在分娩过程中为妇女提供支持，以最少的干预和分娩准备来进行分娩期护理。这项研究可能有助于临床方法和设计有关预防负面和创伤性出生经历的未来研究。

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