Women's childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial.

Autor:	Nilvér H; Institute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, Sweden helena.nilver@gu.se., Wessberg A; Institute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, Sweden.; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden., Dencker A; Institute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, Sweden., Hagberg H; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden.; Centre of Perinatal Medicine & Health, Institute of Clinical Sciences, Salgrenska Akademy, Göteborgs Universitet, Gothenbourg, Sweden., Wennerholm UB; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden.; Centre of Perinatal Medicine & Health, Institute of Clinical Sciences, Salgrenska Akademy, Göteborgs Universitet, Gothenbourg, Sweden., Fadl H; Department of Obstetrics and Gynaecology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden., Wesström J; Centre for Clinical Research, Department of Women's Health, Dalarna County Council, Falun, Sweden., Sengpiel V; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden.; Centre of Perinatal Medicine & Health, Institute of Clinical Sciences, Salgrenska Akademy, Göteborgs Universitet, Gothenbourg, Sweden., Lundgren I; Institute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, Sweden.; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden., Bergh C; Department of Reproductive Medicine, Sahlgrenska University Hospital, Gothenbourg, Sweden., Wikström AK; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Saltvedt S; Department of Obstetrics and Gynaecology, Karolinska University Hospital, Stockholm, Sweden.; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Elden H; Institute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, Sweden.; Department of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, Sweden.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2021 Apr 07; Vol. 11 (4), pp. e042340. Date of Electronic Publication: 2021 Apr 07.
DOI:	10.1136/bmjopen-2020-042340
Abstrakt:	Objective: To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study. Design: A register-based, multicentre, randomised, controlled, superiority trial. Setting: Women were recruited at 14 hospitals in Sweden, 2016-2018. Participants: Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks. Interventions: The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379). Outcome Measures: As main outcome, women's childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1-10) within 3 days after delivery at the remaining eleven hospitals. Results: The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22). Conclusions: There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high. Trial Registration Number: ISRCTN26113652. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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