Methods of induction of labor and women's experience: a population-based cohort study with mediation analyses

Autor: Pauline, Blanc-Petitjean, Corinne, Dupont, Bruno, Carbonne, Marina, Salomé, François, Goffinet, Camille Le, Ray, Pierre-Yves, Ancel
Přispěvatelé: Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hôpital Louis Mourier - AP-HP [Colombes], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Health Service and Performance Research (HESPER), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL), Hôpital Princesse Grace [Monaco], CIC - Mère Enfant Necker Cochin Paris Centre (CIC 1419), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Maternité Port-Royal [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], MEDIP study group: Catherine Crenn-Hebert, Adrien Gaudineau, Frédérique Perrotte, Pierre Raynal, Elodie Clouqueur, Gaël Beucher, Catherine Deneux-Tharaux, Pierre-Yves Ancel, Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Malbec, Odile
Rok vydání: 2020
Předmět:
Adult
medicine.medical_specialty
[SDV]Life Sciences [q-bio]
Population
Psychological intervention
Reproductive medicine
Oxytocin
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Maternal experience
midwifery research
Oxytocics
medicine
causal mediation analysis
Childbirth
Humans
030212 general & internal medicine
Labor
Induced
Prospective Studies
education
Response rate (survey)
education.field_of_study
030219 obstetrics & reproductive medicine
Mediation Analysis
business.industry
Obstetrics
Research
Maternal experience
midwifery research
causal mediation analysis
Balloon catheter
Obstetrics and Gynecology
food and beverages
Gynecology and obstetrics
[SDV] Life Sciences [q-bio]
Patient Satisfaction
Relative risk
Cervical ripening
Cohort
RG1-991
Female
France
business
Induction of labor
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, BioMed Central, 2021, 21 (1), pp.621. ⟨10.1186/s12884-021-04076-x⟩
BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-9 (2021)
BMC Pregnancy and Childbirth, 2021, 21 (1), pp.621. ⟨10.1186/s12884-021-04076-x⟩
ISSN: 1471-2393
DOI: 10.1186/s12884-021-04076-x⟩
Popis: Background Negative childbirth experience may affect mother wellbeing and health. However, it is rarely evaluated in studies comparing methods of induction of labor (IoL). Aim To compare women’s experience of IoL according to the method, considering the mediating role of interventions and complications of delivery. Methods We used data from the MEDIP prospective population-based cohort, including all women with IoL during one month in seven French perinatal networks. The experience of IoL, assessed at 2 months postpartum, was first compared between cervical ripening and oxytocin, and secondarily between different cervical ripening methods. Mediation analyses were used to measure the direct and indirect effects of cervical ripening on maternal experience, through delivery with interventions or complications. Findings The response rate was 47.8% (n = 1453/3042). Compared with oxytocin (n = 541), cervical ripening (n = 910) was associated less often with feelings that labor went ‘as expected’ (adjusted risk ratio for the direct effect 0.78, 95%CI [0.70–0.88]), length of labor was ‘acceptable’ (0.76[0.71–0.82]), ‘vaginal discomfort’ was absent (0.77[0.69–0.85]) and with lower global satisfaction (0.90[0.84–0.96]). Interventions and complications mediated between 6 and 35% of the total effect of cervical ripening on maternal experience. Compared to the dinoprostone insert, maternal experience was not significantly different with the other prostaglandins. The balloon catheter was associated with less pain. Discussion Cervical ripening was associated with a less positive experience of childbirth, whatever the method, only partly explained by interventions and complications of delivery. Conclusion Counselling and support of women requiring cervical ripening might be enhanced to improve the experience of IoL.
Databáze: OpenAIRE
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