背景:目前,剖腹产是臀位胎儿的主要分娩方式,导致临床医生的脱钩和妇女生育选择的限制。这篇综述的目的是提供与女性臀位分娩方式决策经验相关的现有文献的综合总结。
方法:在2021年4月对文献进行了系统搜索,利用五个数据库来识别并获得符合预定选择标准的同行评审文章。
结果:从综合综述中综合了四个主要类别:1)希望阴道分娩的女性可能会经历一系列负面情绪,例如丧失权力的感觉,损失,不确定性和孤立感;2)由于对与臀位分娩有关的风险的看法,在学期中经历臀位表现的女性承受着巨大的压力,以符合医疗专业人员及其家人的期望;3)限制系统中的臀位分娩决策;4)对计划臀位分娩的决定的总体满意度。
结论:由于对臀位分娩风险的认知,足月有臀位胎儿的女性会经历一系列复杂的情绪以及内部和外部压力。助产士在整个臀位体验中都被认为是有帮助的。臀位剖腹产率降低,在探索专门护理途径或专门服务的研究中观察到,可以降低严重急性孕产妇发病率。
BACKGROUND: Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this
review is to present a synthesized summary of existing literature related to women\'s experiences of breech birth mode decision-making.
METHODS: A systematic search of the literature was conducted in April 2021, utilizing five databases to identify and obtain peer-reviewed articles meeting the predetermined selection criteria.
RESULTS: Four major categories were synthesized from the integrated
review: 1) Women who desire a vaginal birth may experience a range of negative emotions such as feelings of disempowerment, loss, uncertainty and a sense of isolation; 2) Women who experience a breech presentation at term experience significant pressures to conform to expectations of medical professionals and their families due to perceptions of risk related to breech birth; 3) Breech birth decision-making in a limiting system; and 4) Overall satisfaction with the decision to plan a vaginal breech birth.
CONCLUSIONS: Women with a breech presenting fetus at term experience a complex range of emotions and internal and external pressures due to perceptions of risk around breech birth. Midwives were seen as helpful throughout the breech experience. The reduced caesarean section rate for breech, observed in studies exploring specialized care pathways or dedicated services, could reduce the incidence of Severe Acute Maternal Morbidity.