产前和产后护理的质量评估
Marcilene de Paula1, Doroteia Aparecida Höfelmann1
1Universidade Federal do Paraná, Curitiba, PR, Brazil.
Einstein (Sao Paulo, Brazil)
|August 2, 2023
概括
大多数妇女都没有得到足够的产前和产后护理,社会弱势群体的护理质量更差. 这凸显了在获得孕产妇医疗保健和结果方面的差异.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 产前和产后护理对于母亲和婴儿的健康至关重要.
- 评估护理质量对于确定需要改进的领域至关重要.
研究的目的:
- 评估妇女获得的产前和产后护理水平.
- 确定护理质量与社会人口统计学/产科特征之间的关联.
主要方法:
- 一项涉及巴西巴拉纳州307名分娩后妇女的横截面研究.
- 通过采访,组合和医疗记录收集的数据.
- 使用五个合规指数 (CI1-CI5) 评估护理的充分性,≥80%的充分性被定义为足够的护理.
主要成果:
- 总体而言,产前护理的遵守率很低,为16.6%.
- 检查和疫苗 (CI4,54.7%) 的遵守率最高,产后预约 (CI5,13.3%) 的遵守率最低.
- 单身妇女和黑色/棕色肤色的妇女中,不充分的护理更为普遍.
结论:
- 大多数妇女没有得到足够的产前和产后护理.
- 面临更大的社会脆弱性的妇女得到的护理质量较差.
- 调查结果强调了孕产妇医疗保健质量的巨大差异.
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