劳动和分娩的偏好,口头表达或作为书面分娩计划:来自全国人口研究的流行率和决定因素
Anne Alice Chantry1,2, Jade Merrer1, Béatrice Blondel1
1Université Paris Cité, Center of Research in Epidemiology and Statistics/CRESS/Obstetrical Pediatric and Perinatal Epidemiology Research Team (EPOPé), INSERM, INRA, Paris, France.
Birth (Berkeley, Calif.)
|June 29, 2023
概括
大多数女性不会表达出产偏好. 那些这样做的人,通常是口头的,从独立的助产士护理和分娩教育中受益,教育是一个强有力的预测因素.
科学领域:
- 产科和妇科 产科和妇科
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策对于以患者为中心的医疗保健至关重要.
- 评估劳动和分娩期间表达偏好的流行程度是很重要的.
- 了解影响偏好表达的因素是改善护理的关键.
研究的目的:
- 为了确定产妇表达对分娩和分娩的偏好的人的流行程度.
- 识别与偏好表达相关的孕产妇,产科和组织因素.
- 根据人口统计和护理因素分析偏好表达的差异.
主要方法:
- 利用了法国2016年全国围产期调查的数据.
- 将偏好分类为口头,书面 (出生计划) 或未表达的.
- 使用多项多层次物流回归来分析11633名分娩者.
主要成果:
- 只有3.7%的人写出了生育计划,17.3%的人口表达了偏好;79.0%的人表示没有.
- 口头或书面偏好与独立的助产士产前护理和分娩教育有关.
- 高等教育水平与偏好表达相关,而来自非洲国家的女性不太可能表达偏好.
结论:
- 不到五分之一的女性表示她们更喜欢劳动和分娩.
- 偏好表达与母亲的特征和护理组织有关.
- 调查结果强调需要支持和促进患者在产妇护理方面的偏好.
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