What women want and why. Women's preferences for induction of labour or expectant management in late-term pregnancy
| Autor: | J.A.M. van der Post, Ben W.J. Mol, E. de Miranda, Judit K. J. Keulen, Joep C. Kortekaas, P.T. Nieuwkerk, J. van Dillen |
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| Přispěvatelé: | Medical Psychology, APH - Mental Health, APH - Personalized Medicine, Obstetrics and Gynaecology, ARD - Amsterdam Reproduction and Development, APH - Methodology |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Closed-ended question medicine.medical_specialty Gestational Age Anxiety Preference Late-term pregnancy 03 medical and health sciences Young Adult 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Quality of life Pregnancy Natural Birth Induction of labour Maternity and Midwifery medicine Humans Pregnancy Prolonged Labor Induced Watchful Waiting Expectant management 030219 obstetrics & reproductive medicine Labor Obstetric 030504 nursing business.industry Obstetrics Cesarean Section Other Research Radboud Institute for Health Sciences [Radboudumc 0] Infant Newborn Obstetrics and Gynecology Gestational age Patient Preference medicine.disease Quality of Life Female medicine.symptom 0305 other medical science business |
| Zdroj: | Women and Birth, 34, 3, pp. 250-256 Women and Birth, 34, 250-256 Women and birth, 34(3), 250-256. Elsevier |
| ISSN: | 1878-1799 1871-5192 |
| Popis: | Background: Both induction of labour at 41 weeks and expectant management until 42 weeks are common management strategies in low-risk pregnancy since there is no consensus on the optimal timing of induction in late-term pregnancy for the prevention of adverse outcomes. Our aim was to explore maternal preference for either strategy and the influence on quality of life and maternal anxiety on this preference. Methods: Obstetrical low-risk women with an uncomplicated pregnancy were eligible when they reached a gestational age of 41 weeks. They were asked to fill in questionnaires on quality of life (EQ6D) and anxiety (STAI-state). Reasons of women's preferences for either induction or expectant management were explored in a semi-structured questionnaire containing open ended questions. Results: Of 782 invited women 604 (77.2%) responded. Induction at 41 weeks was preferred by 44.7% (270/604) women, 42.1% (254/604) preferred expectant management until 42 weeks, while 12.2% (74/604) of women did not have a preference. Women preferring induction reported significantly more problems regarding quality of life and were more anxious than women preferring expectant management (p < 0.001). Main reasons for preferring induction of labour were: “safe feeling” (41.2%), “pregnancy taking too long” (35.4%) and “knowing what to expect” (18.6%). For women preferring expectant management, the main reason was “wish to give birth as natural as possible” (80.3%). Conclusion: Women's preference for induction of labour or a policy of expectant management in late-term pregnancy is influenced by anxiety, quality of life problems (induction), the presence of a wish for natural birth (expectant management), and a variety of additional reasons. This variation in preferences and motivations suggests that there is room for shared decision making in the management of late-term pregnancy. |
| Databáze: | OpenAIRE |
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