高齡產婦對嚴重產痛的認知──醫院品質促進之研究

Advanced Maternal Age and Severe Labor Pain Perception: A Hospital-Sponsored Quality Improvement Study

背景與目的：過去三十年來，越來越多的女性受到教育、社會和經濟各方面的原因，造成延遲生育。本研究的目的是探討產婦在分娩過程中感受的嚴重疼痛和其年齡之間的關係。方法：本橫斷面研究是採用台中榮民總醫院（VGHTC）2012年11月1日到2012年11月30日住院病人經陰道進行分娩的資料。分析產婦的特徵和嚴重疼痛的感知差異，並以T檢定和ANOVA檢定其顯著程度。結果：年輕產婦（＜35歲）比高齡產婦（≧35歲）在分娩過程中較易感受嚴重疼痛（37.1%比15.4%，P<0.041）。結論：高齡產婦似乎比年輕產婦對自然分娩較能妥善管理。本研究認為應該針對不同類型的產婦設計個人化的有效干預措施以處理產婦的痛苦。

Background: In the past three decades, an increasing proportion of women have delayed childbearing for educational, social, and economic reasons. The purpose of this study was to examine the relationship between the severe pain during childbirth and parturient's age. Methods: A cross-sectional survey study used computerized hospital datasets of inpatients with vaginal delivery in Taichung Veterans General Hospital (VGHTC) from 1st November 2012 to 30 November 2012. The study analyzed the difference between the characteristics of parturients and severe pain perception with t-test and Chi-Square test. Results: Compared with advanced maternal age women, the incidence of reporting severe labor pain was significantly higher in the group of less than 35 years old (37.1% versus 15.4%, P<0.041). Conclusion: Compared with advanced maternal age parturients, young parturients were more likely to experience severe pain during vaginal delivery. Differences parturients make decision with medical care are vary by their preferences. More individually effective interventions should be designed to deal with the different painful experiences among parturients.