Current status and influencing factors of feeling in control during labor in pregnant women with gestational diabetes mellitus
10.3760/cma.j.cn115682-20191209-04506
- VernacularTitle:妊娠期糖尿病产妇分娩控制感现状及影响因素分析
- Author:
Ruirui GU
1
;
Yixuan HOU
;
Liping WU
Author Information
1. 北京大学第一医院护理部，北京 100034
- Keywords:
Diabetes, gestational;
Pregnant women;
Feeling in control during labor;
Intrapartum anxiety;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2020;26(29):4061-4066
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of feeling in control during labor in pregnant women with gestational diabetes mellitus (GDM) .Methods:Totally 200 pregnant women with GDM who underwent vaginal delivery in a Class Ⅲ Graded A maternity hospital in Beijing between from February to July 2018 were selected by convenient sampling. They were required to fill in the general information questionnaire, the Chinese version of Feeling in Control during Labor Scale (FCLS) and State Anxiety Inventory Form (S-AI) 48 hours after delivery to investigate their general information, feeling in control during labor and state anxiety. The factors affecting feeling in control during labor were analyzed, and the data of totally 172 pregnant women were collected.Results:The total score of FCLS in the 172 pregnant women with GDM was (148.00±23.03) , which was in a middle level. Univariate analysis showed that there were statistically significant differences in the scores of FCLS between pregnant women with GDM who had different education levels, occupations, the number of births, whether or not to undergo perineal lateral resection, and whether to use forceps ( P<0.05) . Multivariate analysis revealed that the whether to use forceps, the number of births, antenatal fasting blood glucose, and the level of anxiety during childbirth were the influencing factors for feeling in control of during labor in pregnant women with GDM. Conclusions:The level of feeling in control during labor in pregnant women with GDM in Beijing is higher than that of normal primiparous women. The in control during labor is affected by many factors, and clinical medical staff should take a variety of targeted measures for different populations to enhance their feeling in control during labor, thereby improving the delivery outcome and childbirth satisfaction.
