产妇护理从业人员类型与产后抑郁查之间的关联
Althea I Bourdeau1, Kim G Harley1, Angela-Maithy Nguyen1
1School of Public Health, University of California, Berkeley, California, USA.
Birth (Berkeley, Calif.)
|July 12, 2023
概括
接受助产士产妇护理的妇女更有可能接受产后抑郁症 (PPD) 查. 然而,一些有风险的个体仍然可能会被普遍查努力所遗漏.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 心理健康 心理健康
背景情况:
- 产后抑郁症 (PPD) 是一种普遍影响母亲和新生儿福祉的疾病.
- 建议对PPD进行普遍查,但并未一致实施.
- 现有的查方案可能无法覆盖所有风险人群.
研究的目的:
- 调查产妇护理提供者类型与PPD查率之间的关联.
- 检查影响孕妇产后护理出勤的因素.
主要方法:
- 使用加利福尼亚州2018年"倾听母亲"数据集进行的横截面研究.
- 对2016年分娩的加利福尼亚居民的分析.
- 后勤回归模型用于评估护理提供者,PPD查和产后访问之间的关联.
主要成果:
- 与产科医生相比,助产士的护理与PPD查的几率增加了2.6倍.
- 对于其他类型的从业者和产科医生来说,在PPD查中没有明显的差异.
- 自我报告的产前抑郁或焦虑与参加产后护理的几率下降有关.
结论:
- 助产士的护理与更高的产后抑郁查率有关.
- 单独进行普遍查可能无法识别所有患PPD高风险的人.
- 针对性干预是需要的怀孕个体有心理健康问题,谁有较低的产后访问出席.
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