European journal of obstetrics, gynecology, and reproductive biology · 2025
INDEX (Induction Experience) assessment of how women feel about induced labour: A prospective observational study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vermare Clarisse, Rouzaire Marion, Antonio Marie De, Accoceberry Marie, Houlle Céline, Petillon Fanny, Gallot Denis
Аннотация
PROBLEM: Women's experience of induction of labour and how to identify risk factors for poor experience had not been evaluated in the literature.
BACKGROUND: The experience of induction can be a source of distress for women. The validated EXIT self-questionnaire assesses maternal satisfaction with labour induction.
AIM: To assess the satisfaction and experience of women who have undergone induction of labour with cervical ripening and so identify risk factors for a poor experience of induction.
METHODS: This was a prospective observational study including pregnant women with cervical ripening before induction. Longitudinal information on meals, sleep, ambulation, vomiting, and pain were collected prospectively using a time-stamped self-questionnaire, and women were asked to fill in the validated EXIT self-questionnaire in the week after birth.
FINDINGS: Women induced with a balloon catheter had a worse experience of time taken to give birth (Estimate: -1.44, p = 0.001) but a better experience of contractions (Estimate: 1.44, p = 0.009) and improved comfort (Estimate: 0.94, p = 0.006). Induction for post-term was a factor of negative experience related to the time to give birth (Estimate: -0.72, p = 0.013). High pain duration (Estimate: -2.73, p = 0.018) and insufficient sleep (Estimate: 0.31, p = 0.059) were risk factors for a negative experience of contractions. A long walking time contributed to comfort during cervical ripening (Estimate: 0.91, p = 0.103).
DISCUSSION: Multivariate models based on our time-stamped self-questionnaire showed that some of these variables were essential to assessing experience during cervical ripening and in particular pain (Estimate: -2.73, p = 0.018), sleep (Estimate: 0.31, p = 0.059), and walking time (Estimate: 0.91, p = 0.102).
CONCLUSION: Recording of these variables by women during induction could help us identify those likely to require support during cervical ripening, thereby improving our practices, and enabling individualized care.
BACKGROUND: The experience of induction can be a source of distress for women. The validated EXIT self-questionnaire assesses maternal satisfaction with labour induction.
AIM: To assess the satisfaction and experience of women who have undergone induction of labour with cervical ripening and so identify risk factors for a poor experience of induction.
METHODS: This was a prospective observational study including pregnant women with cervical ripening before induction. Longitudinal information on meals, sleep, ambulation, vomiting, and pain were collected prospectively using a time-stamped self-questionnaire, and women were asked to fill in the validated EXIT self-questionnaire in the week after birth.
FINDINGS: Women induced with a balloon catheter had a worse experience of time taken to give birth (Estimate: -1.44, p = 0.001) but a better experience of contractions (Estimate: 1.44, p = 0.009) and improved comfort (Estimate: 0.94, p = 0.006). Induction for post-term was a factor of negative experience related to the time to give birth (Estimate: -0.72, p = 0.013). High pain duration (Estimate: -2.73, p = 0.018) and insufficient sleep (Estimate: 0.31, p = 0.059) were risk factors for a negative experience of contractions. A long walking time contributed to comfort during cervical ripening (Estimate: 0.91, p = 0.103).
DISCUSSION: Multivariate models based on our time-stamped self-questionnaire showed that some of these variables were essential to assessing experience during cervical ripening and in particular pain (Estimate: -2.73, p = 0.018), sleep (Estimate: 0.31, p = 0.059), and walking time (Estimate: 0.91, p = 0.102).
CONCLUSION: Recording of these variables by women during induction could help us identify those likely to require support during cervical ripening, thereby improving our practices, and enabling individualized care.