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Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the Netherlands

机译：荷兰产后3年妇女与出生经历的负面或正面回忆相关的围产期因素

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Background: Little research has been conducted to date on women's postnatal emotional well-being and satisfaction with the care received in the Netherlands. The aim of this study was to investigate Dutch women's views of their birth experience 3 years after the event. Methods: A questionnaire was mailed to all women who had given birth in 2001 and who had at least one prenatal, perinatal, or postnatal visit to the participating midwifery practice. Women who had a subsequent birth after the index birth in 2001 were not excluded. We specifically asked respondents to reflect on the birth that occurred in 2001. Women were asked to say how they felt now looking back on their labor and birth, with five response options from "very happy" to "very unhappy." Results: We received 1,309 postnatal questionnaires (response rate 44%). The sample was fairly representative with respect to the mode of delivery, place of birth, and obstetric interventions compared with the total Dutch population of pregnant women; however, the sample was not representative for ethnicity and initial caregiver. Three years after delivery, most women looked back positively on their birth experience, but more than 16 percent looked back negatively. More than 1 in 5 primiparas looked back negatively compared with 1 in 9 multiparas. Adjusted odds ratios (OR) for looking back negatively 3 years later included having had an assisted vaginal delivery or unplanned cesarean delivery (OR 2.6, 95% CI 1.59-4.14), no home birth (OR 1.4, 95% CI 1.04-1.93), referral during labor (OR 2.4, 95% CI 1.48-3.77), not having had a choice in pain relief (OR 2.9, 95% CI 1.91-4.45), not being satisfied in coping with pain (OR 4.9, 95% CI 2.55-9.40), a negative description of the caregivers (OR 2.9, 95% CI 1.85-4.40), or having had fear for the baby's life or her own life (OR 2.3, 95% CI 1.47-3.48). Conclusions: A substantial proportion of Dutch women looked back negatively on their birth experience 3 years postpartum. Further research needs to be undertaken to understand women's expectations and experiences of birth within the Dutch maternity system and an examination of maternity care changes designed to reduce or modify controllable factors that are associated with negative recall.
机译：背景：迄今为止，关于荷兰妇女在产后的情绪健康和满意度方面的研究很少。这项研究的目的是调查事件发生三年后荷兰妇女对其生育经历的看法。方法：向所有在2001年分娩并且至少有一次产前，围产期或产后回访参与助产士实践的妇女邮寄问卷。不排除2001年指数出生后再出生的妇女。我们特别要求受访者对2001年的出生情况进行反思。女性被要求说出她们现在对自己的分娩和生育状况有何回想，从“非常高兴”到“非常不高兴”五个回答选项。结果：我们收到了1,309份产后调查问卷（答复率为44％）。与荷兰孕妇总数相比，该样本在分娩方式，出生地点和产科干预方面具有代表性。但是，该样本不能代表种族和最初的照料者。分娩三年后，大多数妇女对自己的生育经历抱有乐观的态度，但有超过16％的女性对此抱有消极的态度。超过五分之一的初产妇向后看，而九分之一的多产妇则为负。 3年后进行负向回顾的调整后的优势比（OR）包括辅助阴道分娩或计划外剖宫产（OR 2.6，95％CI 1.59-4.14），没有家庭生育（OR 1.4，95％CI 1.04-1.93） ，分娩时转诊（OR 2.4，95％CI 1.48-3.77），没有缓解疼痛的选择（OR 2.9，95％CI 1.91-4.45），对疼痛的满足感不满意（OR 4.9，95％CI 2.55-9.40），对看护者的否定描述（OR 2.9，95％CI 1.85-4.40），或者对婴儿的生命或自己的生活有恐惧感（OR 2.3，95％CI 1.47-3.48）。结论：相当大比例的荷兰妇女对产后3年的出生经历产生了负面的回望。需要进行进一步的研究，以了解荷兰产妇制度中妇女的期望和出生经验，并检查旨在减少或修改与不良召回相关的可控因素的产妇保健变化。

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