在异质状态下均获得胎儿心脏护理
Christina Ronai1,2, Laura Garcia Godoy1, Erin Madriago1
1Department of Pediatrics, Division of Pediatric Cardiology, Oregon Health and Sciences University, Portland, OR, USA.
Cardiology in the young
|July 24, 2023
概括
对所有家庭来说,先天性心脏病 (CHD) 的产前诊断是及时的,无论社会经济因素如何. 提供了一致的咨询,确保为俄勒冈州各地的不同人群提供公平的护理.
科学领域:
- 孕产妇与胎儿的医学
- 儿科心脏病学 儿科心脏病学
- 公共卫生 公共卫生
背景情况:
- 对先天性心脏病 (CHD) 的及时产前诊断对于计划生育和决策至关重要.
- 社会经济因素可能会影响获得及时诊断和产前咨询的质量.
研究的目的:
- 研究父母社会经济因素对初始胎儿心声图的时间的影响.
- 评估社会经济因素是否影响先天性心脏病胎儿咨询的特点.
主要方法:
- 从2017年至2018年对139个母胎二位数进行了回顾性图表审查.
- 分析包括第一次胎儿回声时的妊娠年龄,母亲人口统计数据,社会经济指标 (邮政编码,乡村指数,医院距离) 和咨询文档.
- 咨询变量包括翻译使用,计费时间和选择的治疗选项.
主要成果:
- 根据收入,医院距离或农村地区,在第一个胎儿心声图的时间上没有发现显著差异.
- 农村地区的患者获得了显著更长的咨询时间 (p < .05).
- 父母的社会经济因素没有影响最终的治疗选择 (终止,息分娩或心脏干预).
结论:
- 尽管俄勒冈州的人口和地理位置多样化,胎儿心声图转诊和初次诊断均以一致及时的方式发生.
- 在不同的社会经济背景下,产前咨询和家庭决策过程是一致的.
- 这项研究证明了公平获得及时诊断和对先天性心脏病的一致咨询.
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