Abstract
Objectives
To describe Canadian parents’ experiences with mode of birth for preterm singleton
pregnancies; knowledge about maternal and infant risks of the different modes of preterm
birth, particularly breech birth; and communication preferences with respect to mode
of birth.
Methods
We conducted an online survey of Canadian parents who had experienced the preterm
birth of a live-born infant between 2010 and 2019. Data were collected from August
to September 2019. The sample size was calculated as requiring 96 participants.
Results
Of the 153 respondents, 152 were mothers. Respondents were approximately evenly split
between those who had experienced an extremely preterm birth (<28 wk), a very preterm
birth (28–31 wk), or a moderate-to-late preterm birth (32–36 wk). Most parents reported
that mode of birth was discussed before the birth (61.7%, 73.3% and 77.3% for extremely,
very, and moderate-to-late preterm births, respectively). The minority of parents
reported being given a choice about mode of birth (20.8%, 23.0%, and 36.4% for extremely,
very, and moderate-to-late preterm births, respectively). The use of written material
during discussion on mode of birth was rare (2.1%, 3.3% and 6.8% for extremely, very,
and moderate-to-late preterm births, respectively). Of women who had a cesarean delivery,
39.6% (36/91) were unaware of the maternal risks. Many parents expressed preference
for both oral and written communication during counselling on mode of birth (62.6%).
Conclusion
Few Canadian parents reported receiving a choice about mode of preterm birth, being
aware of associated risks, or receiving written information. There is an urgent need
to develop tools that provide information for parents facing preterm birth.
Résumé
Objectifs
Décrire les expériences de parents canadiens relativement au mode d'accouchement prématuré
pour les grossesses monofœtales; les connaissances sur les risques pour la mère et
le nourrisson en ce qui concerne les différents modes d'accouchement prématuré, en
particulier en cas d'accouchement du siège; et les préférences en matière de communication
quant au mode d'accouchement.
Méthodologie
Nous avons mené un sondage en ligne auprès de parents canadiens qui avaient fait l'expérience
d'une naissance vivante avant terme entre 2010 et 2019. Les données ont été recueillies
entre août et septembre 2019. La taille d’échantillon requise a été établie à 96 participants.
Résultats
Sur les 153 répondants, 152 étaient des mères. Les répondants ont été répartis de
façon presque égale entre les groupes de parents qui ont vécu l'accouchement d'un
très grand prématuré (< 28 semaines d'aménorrhée.), d'un grand prématuré (28-31 semaines
d'aménorrhée) et d'un prématuré (32-36 semaines d'aménorrhée). La plupart des parents
ont rapporté que le mode d'accouchement avait fait l'objet d'une discussion avant
la naissance (61,7 %, 73,3 % et 77,3 % pour les accouchements d'un très grand prématuré,
d'un grand prématuré ou d'un prématuré, respectivement). Une minorité de parents ont
signalé s’être fait offrir un choix relativement au mode d'accouchement (20,8 %, 23,0 %
et 36,4 % pour les accouchements d'un très grand prématuré, d'un grand prématuré ou
d'un prématuré, respectivement). L'utilisation de documents écrits lors de la discussion
sur le mode d'accouchement était rare (2,1 %, 3,3 % et 6,8 % pour les accouchements
d'un très grand prématuré, d'un grand prématuré ou d'un prématuré, respectivement).
Parmi les femmes qui ont accouché par césarienne, 39,6 % (36 femmes sur 91) n’étaient
pas au courant des risques maternels. De nombreux parents ont fait part de leur préférence
pour la communication orale et écrite lors du conseil sur le mode d'accouchement (62,6 %).
Conclusion
Peu de parents canadiens ont indiqué avoir pu choisir un mode d'accouchement prématuré,
avoir été informés des risques associés ou avoir reçu des renseignements écrits. Il
est urgent de mettre au point des outils pour fournir l'information nécessaire aux
parents qui doivent faire face à une naissance avant terme.
Keywords
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Article info
Publication history
Published online: December 07, 2020
Footnotes
Disclosures: This study is supported by the Hamilton Academic Health Sciences Organization Academic Health Science Centre Alternate Funding Plan from the Ministry of Health and Long-Term Care Innovation Fund (# HAH-19-04). S.D.M. is supported by a CIHR Canada Research Chair (950-229920). Neither funding agency had any role this study. The authors declare no financial support or competing interests for this project.
All authors have indicated they meet the journal's requirements for authorship.
Identification
Copyright
© 2020 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
