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Birth plan presentation to hospitals and its relation to obstetric outcomes and selected pain relief methods during childbirth.
- Source :
-
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2021 Apr 01; Vol. 21 (1), pp. 274. Date of Electronic Publication: 2021 Apr 01. - Publication Year :
- 2021
-
Abstract
- Background: The information on birth plan (BP) usage in Spanish hospitals is scant.<br />Aim: To identify the percentage of pregnant women presenting a BP at five hospitals in Spain, the reasons why some women failed to do so and how BP presentation relates to obstetric outcomes and selected pain relief methods.<br />Methods: In this descriptive, multi-centre study, data were retrospectively collected. During the postpartum visits at primary healthcare centres in various health districts in Barcelona (Catalonia, Spain), a data collection sheet about obstetric outcomes and analgesia was administered to 432 mothers who had completed a BP during their pregnancies. The main outcome was the rate of BP presentation to the hospital. The sociodemographic and obstetric characteristics and pain relief measures were compared to identify any differences between mothers who presented a BP and those who did not.<br />Results: A total of 422 (99.7%) women were studied; 51.2% of women (95% confidence interval (CI): 46.4-55.9) had presented a BP. The main reason for not presenting a BP was because the hospital midwives did not request them (61.2%). No differences were observed in BP presentation according to age, the country of origin, education, employment or hospital. Mothers who presented a BP were more likely to start breastfeeding in the birthing room (82.4% vs. 73.3%; p = 0.024). Epidural analgesia was the most common method used for pain relief (88.9%), and women who presented a BP attempted to use concomitant non-pharmacological methods more often (50.5% vs. 38.8%; p = 0.012).<br />Conclusion: Almost half of the mothers failed to present a BP, usually because midwives did not request it.
- Subjects :
- Adult
Analgesia, Obstetrical statistics & numerical data
Communication
Counseling
Female
Hospitals statistics & numerical data
Humans
Midwifery organization & administration
Midwifery statistics & numerical data
Pregnancy
Prenatal Care organization & administration
Retrospective Studies
Spain
Decision Making
Delivery, Obstetric adverse effects
Patient Preference
Prenatal Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2393
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC pregnancy and childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 33794803
- Full Text :
- https://doi.org/10.1186/s12884-021-03739-z