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首页> 外文期刊>Journal of women’s health >Association of untrained labor companion with operative delivery rate: retrospective study of 2247 women.
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Association of untrained labor companion with operative delivery rate: retrospective study of 2247 women.

机译：未经培训的劳动同伴与手术分娩率的关联：2247名妇女的回顾性研究。

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OBJECTIVE: Support of a pregnant woman during labor by her partner is widely accepted, but the effect of the presence of the partner on delivery outcome is unknown. METHODS: We conducted a retrospective cohort study to evaluate delivery outcome, defined as spontaneous delivery vs. vaginal-operative delivery or cesarean section, in patients with a singleton pregnancy between 38 weeks and 0 days of gestation (38/0) and 41 weeks and 6 days of gestation (41/6), who planned a vaginal delivery at the Department of Obstetrics, Medical University of Vienna, between January 2007 and December 2009, with respect to the presence of the father in the delivery room compared to the presence of an untrained female supportive companion or no companion. Univariate and multivariate logistic regression analyses were used to assess delivery outcome with respect to clinical variables, such as patient age, parity, body mass index (BMI), induction of labor, fetal birth weight, and years of education of the parturient. RESULTS: The study included 2247 women; 212 (9%, group I) were accompanied by a female supportive companion, 1396 (62%, group II) were accompanied by a male supportive companion, and 639 women (29%, group III) were accompanied by no supportive companion. The vaginal-operative and cesarean delivery rates were not significantly different among the three groups (19% in group I vs. 17% in group II vs. 18% in group III, p=0.5). In a multivariate analysis, operative delivery outcome was significantly associated with higher maternal age (p<0.001), lower parity (p<0.0001), and labor induction (p=0.001) but not with gender of the supportive companion (male vs. no companion: p=0.11; female vs. no companion: p=0.90; male vs. female companion: p=0.23). CONCLUSION: Parity, maternal age, and labor induction but not the presence or the gender of the supportive companion are associated with the rate of operative deliveries.
机译：目的：孕妇在分娩过程中对伴侣的支持已被广泛接受，但伴侣的存在对分娩结果的影响尚不清楚。方法：我们进行了一项回顾性队列研究，以评估妊娠38周至0天（38/0）至41周之间单胎妊娠患者的分娩结局，定义为自然分娩与阴道手术分娩或剖宫产。怀孕6天（41/6），他计划在2007年1月至2009年12月期间在维也纳医科大学的妇产科进行阴道分娩，原因是父亲在分娩室的情况与没有训练的女性支持伴侣或没有伴侣。单因素和多元逻辑回归分析用于评估有关临床变量的分娩结局，例如患者年龄，胎次，体重指数（BMI），引产，胎儿出生体重和产妇受教育年限。结果：该研究包括2247名妇女; 212名（9％，第一组）伴有女性支持伴侣，1396名（62％，第二组）伴有男性支持伴侣，639名女性（29％，第三组）伴有无支持伴侣。三组患者的阴道手术和剖宫产率没有显着差异（I组为19％，II组为17％，III组为18％，p = 0.5）。在多因素分析中，手术分娩结局与较高的产妇年龄（p <0.001），较低的胎次（p <0.0001）和引产（p = 0.001）显着相关，而与支持性伴侣的性别无关（男性vs.伴侣：p = 0.11;女性vs.没有伴侣：p = 0.90;男性vs.女性伴侣：p = 0.23）。结论：胎龄，产妇年龄和引产情况与支持性同伴的存在或性别无关，与手术分娩率有关。

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