What women want and why. Women's preferences for induction of labour or expectant management in late-term pregnancy

نویسندگان

چکیده

Both induction of labour at 41 weeks and expectant management until 42 are common strategies in low-risk pregnancy since there is no consensus on the optimal timing late-term for prevention adverse outcomes. Our aim was to explore maternal preference either strategy influence quality life anxiety this preference. Obstetrical women with an uncomplicated were eligible when they reached a gestational age weeks. They asked fill questionnaires (EQ6D) (STAI-state). Reasons women's preferences or explored semi-structured questionnaire containing open ended questions. Of 782 invited 604 (77.2%) responded. Induction preferred by 44.7% (270/604) women, 42.1% (254/604) weeks, while 12.2% (74/604) did not have Women preferring reported significantly more problems regarding anxious than (p < 0.001). Main reasons were: “safe feeling” (41.2%), “pregnancy taking too long” (35.4%) “knowing what expect” (18.6%). For management, main reason “wish give birth as natural possible” (80.3%). Women's policy influenced anxiety, (induction), presence wish (expectant management), variety additional reasons. This variation motivations suggests that room shared decision making pregnancy.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Induction of labour versus expectant monitoring in women with pregnancy induced hypertension or mild preeclampsia at term: the HYPITAT trial

BACKGROUND Hypertensive disorders, i.e. pregnancy induced hypertension and preeclampsia, complicate 10 to 15% of all pregnancies at term and are a major cause of maternal and perinatal morbidity and mortality. The only causal treatment is delivery. In case of preterm pregnancies conservative management is advocated if the risks for mother and child remain acceptable. In contrast, there is no co...

متن کامل

Induction of labour versus expectant management in women with preterm prelabour rupture of membranes

Background: Preterm prelabour rupture of the membranes (PPROM) is an important clinical problem and a dilemma for the gynaecologist. On the one hand, awaiting spontaneous labour increases the probability of infectious disease for both mother and child, whereas on the other hand induction of labour leads to preterm birth with an increase in neonatal morbidity (e.g., respiratory distress syndrome...

متن کامل

development and implementation of an optimized control strategy for induction machine in an electric vehicle

in the area of automotive engineering there is a tendency to more electrification of power train. in this work control of an induction machine for the application of electric vehicle is investigated. through the changing operating point of the machine, adapting the rotor magnetization current seems to be useful to increase the machines efficiency. in the literature there are many approaches wh...

15 صفحه اول

Induction of labour for post term pregnancy: an observational study.

The aim of the study was to compare the 2 management protocols for postterm pregnancy; elective induction of labour at 42 weeks' gestation and continuing the pregnancy with fetal monitoring while awaiting spontaneous labour. A retrospective observational study compared a cohort of 360 pregnancies where labour was induced with 486 controls. All pregnancies were postterm (>294 days) by an early u...

متن کامل

When outcome is a balance: methods to measure combined utility for the choice between induction of labour and expectant management in mild risk pregnancy at term

BACKGROUND When the primary and secondary outcomes of clinical studies yield ambiguous or conflicting recommendations, preference or valuation studies may help to overcome the decision problem. The present preference study is attached to two clinical studies (DIGTAT, ISRCT10363217; HYPITAT, ISRCT08132825) that evaluate induction of labour versus expectant management in term pregnancies with a m...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Women and Birth

سال: 2021

ISSN: ['1871-5192', '1878-1799']

DOI: https://doi.org/10.1016/j.wombi.2020.03.010