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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3032 records
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Created on : 16 May 2018
Modified on : 29 Jul 2018

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Bibliographical entry (without author) :

The predictive role of support in the birth experience: A longitudinal cohort study

Author(s) :

Valgerdur Lisa Sigurdardottira, Jennifer Gamble, Berglind Gudmundsdottira, Hildur Kristjansdottir, Herdis Sveinsdottire, Helga Gottfredsdottir

Year of publication :

2017

URL(s) :

https://www.womenandbirth.org/article/S1871-5192(1…

Résumé (français)  :

Contexte : Plusieurs facteurs de risque d’expérience négative de naissance ont été identifiés, mais on en sait peu concernant l’influence du soutien social et obstétrical sur l’expérience de la naissance au fil du temps.

Objectif : Le but de cette étude était de décrire l’expérience de naissance des femmes jusqu’à deux ans après la naissance et détecter le rôle prédictif de la satisfaction à l’égard du soutien social et obstétrical dans l’expérience de la naissance.

Méthode : Une étude de cohorte longitudinale a été menée avec un échantillon de convenance de femmes enceintes sur 26 centres de santé communautaires. Les données ont été recueillies en utilisant des questionnaires à 11-16 semaines de grossesse (T1, n = 1111), à cinq à six mois (T2, n = 765), et à 18-24 mois après la naissance (T3, n = 657). Données sur facteurs socio-démographiques, antécédents reproductifs, issues de la grossesse, soutien social et sage-femme, symptômes dépressifs, et l’expérience de naissance ont été recueillies. Le rôle prédictif du soutien des sages-femmes dans l’expérience de naissance a été examiné en utilisant la régression logistique binaire.

Résultats : La prévalence de l’expérience de naissance négative était de 5% au T2 et de 5,7% au T3. Les femmes qui n’étaient pas satisfaits du soutien des sages-femmes pendant la grossesse et la naissance étaient plus susceptibles d’avoir une naissance négative au T2 que les femmes qui étaient satisfaites du soutien de sage-femme. Naissance opérative, perception de naissance prolongée et être un étudiant prédit une expérience de naissance négative à la fois T2 et T3.

Conclusions : La perception de l’expérience de naissance négative était relativement constante au cours de la période d’étude et le rôle du soutien des sages-femmes pendant la grossesse et l’accouchement a eu un impact significatif sur la perception de l’expérience de naissance.

Abstract (English)  :

Background: Several risk factors for negative birth experience have been identified, but little is known regarding the influence of social and midwifery support on the birth experience over time.

Objective: The aim of this study was to describe women’s birth experience up to two years after birth and to detect the predictive role of satisfaction with social and midwifery support in the birth experience.

Method: A longitudinal cohort study was conducted with a convenience sample of pregnant women from 26 community health care centres. Data was gathered using questionnaires at 11–16 weeks of pregnancy (T1, n = 1111), at five to six months (T2, n = 765), and at 18–24 months after birth (T3, n = 657). Data about sociodemographic factors, reproductive history, birth outcomes, social and midwifery support,
depressive symptoms, and birth experience were collected. The predictive role of midwifery support in the birth experience was examined using binary logistic regression.

Results: The prevalence of negative birth experience was 5% at T2 and 5.7% at T3. Women who were not satisfied with midwifery support during pregnancy and birth were more likely to have negative birth
experience at T2 than women who were satisfied with midwifery support. Operative birth, perception of
prolonged birth and being a student predicted negative birth experience at both T2 and T3.

Conclusions: Perception of negative birth experience was relatively consistent during the study period and
the role of support from midwives during pregnancy and birth had a significant impact on women’s
perception of birth experience.

Sumário (português)  :

Contexto: Diversos fatores de risco para experiência de parto negativo foram identificados, mas pouco se sabe sobre a influência do apoio social e obstetrícia sobre a experiência do parto ao longo do tempo.

Objetivo: O objetivo deste estudo foi descrever a experiência de parto de mulheres até dois anos após o nascimento e detectar o papel preditivo da satisfação com o apoio social e obstétrico na experiência do parto.

Método: Um estudo de coorte longitudinal foi realizado com uma amostra de conveniência de gestantes 26 centros comunitários de saúde. Os dados foram coletados usando questionários de 11 a 16 semanas de gravidez (T1, n = 1111), aos cinco a seis meses (T2, n = 765) e aos 18-24 meses após o nascimento (T3, n = 657). Dados sobrenfatores sociodemográficos, história reprodutiva, desfechos do parto, apoio social e obstétrico, sintomas depressivos e experiência de parto foram coletados. O papel preditivo do suporte de obstetrícia na experiência do parto foi examinada usando regressão logística binária.

Resultados: A prevalência de experiência de parto negativo foi de 5% em T2 e 5,7% em T3. Mulheres que não eram satisfeitos com o apoio obstétrico durante a gravidez e o nascimento foram mais propensos a ter nascimento negativo experiência em T2 do que mulheres que estavam satisfeitas com o apoio da obstetrícia. Parto operatório, percepção denNascimento prolongado e ser um estudante previu experiência de nascimento negativo em T2 e T3.

Conclusões: A percepção da experiência de parto negativo foi relativamente consistente durante o período do estudo e o papel do apoio das parteiras durante a gravidez e o parto teve um impacto significativo nas mulheres percepção da experiência do parto.

Comments :

Argument (français) :

En Islande, 6% avec des femmes ayant eu des expériences négatives en accouchement. Le role de la sage-femme est identifié comme facteur d’influence la plus importante.

Argument (English):

In Iceland, 6% with women had a negative experience in childbirth. The role of the midwife is identified as the most important factor of influence.

Argumento (português):

Na Islândia, 6% das mulheres tiveram uma experiência negativa no parto. O papel da parteira é identificado como o fator mais importante de influência.

Keywords :

➡ midwifery training ; psychology ; public health ; birth attendant ; midwife

Author of this record :

Veronica Graham — 16 May 2018
➡ latest update : Bernard Bel — 29 Jul 2018

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