孕产妇分娩恐惧预防和管理的最佳证据总结

Best-Evidence Summary on the Prevention and Management of Maternal Fear of Childbirth

目的 总结孕产妇分娩恐惧(fear of childbirth, FOC)预防和管理的证据,为临床实践提供参考。方法 检索国内外指南网、专业学会网站和数据库中关于孕产妇FOC预防与管理的临床决策、指南、专家共识、证据总结、系统评价及临床实践,检索时限为建库至2023年2月,补充检索时间为2024年1月。结果 共纳入12篇文献,其中指南2篇、专家共识2篇、系统评价7篇、临床实践1篇,总结出14条最佳证据。结论 总结的孕产妇FOC预防和管理的最佳证据可为临床证据转化提供循证依据,建议护理人员结合临床实际,审慎使用。

Objective To summarize the best evidence on prevention and management of fear of childbirth(FOC)in pregnant and postpartum women and provide reference for clinical practice.Methods Clinical decisions,guidelines,expert consensus,evidence summary,systematic reviews and clinical practice on the prevention and management of FOC in pregnant women were systematically searched in guideline networks,websites of professional societies and databases at home and abroad.The search time is from the establishment of the database to February 2023,and the supplementary search time is January 2024.Results Twelve literatures were included,including 2 guidelines,2 expert consensus articles,7 systematic reviews,and 1 clinical practice article,and 14 best evidences were summarized.Conclusions The summarized best evidence for maternal FOC prevention and management can provide an evidence-based basis for clinical evidence translation and is recommended for judicious use by caregivers in the context of clinical practice.