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针对孕妇的教育干预措施,以优化剖腹产的使用:有哪些基本要素? 一个定性比较分析分析

Rana Islamiah Zahroh¹, Katy Sutcliffe², Dylan Kneale²

¹Gender and Women's Health Unit, Nossal Institute for Global Health, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. r.zahroh@unimelb.edu.au.

BMC public health

|September 23, 2023

概括

降低剖腹产率的成功干预措施包括基于群体的分娩,教育材料,家庭参与和提供者的互动. 这些组成部分是优化母婴健康结果的关键.

科学领域:

产科和妇科产科和妇科
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

在全球范围内,剖腹产率正在上升,这增加了母亲和新生儿的风险.
减少CS的教育干预措施已经显示出不同的有效性.
识别成功干预的关键组成部分对于优化其影响至关重要.

研究的目的:

确定成功实施旨在优化剖腹产 (CS) 在孕妇中使用计划的必要干预组件.
分析导致旨在降低CS率的干预措施成功或失败的因素.

主要方法:

重新分析了世卫组织关于优化CS的非临床干预指南中使用的系统审查.
质量比较分析 (QCA) 适用于36篇论文 (17篇CS干预研究和19篇相关研究).
六个阶段的QCA过程,包括数据校准,真实表构建和布尔最小化,以确定成功的干预配置.

主要成果:

成功的干预措施包括基于群体的交付,提供信息,教育和通信 (IEC) 材料,伴侣/家庭参与,以及女性与医疗服务提供者互动的机会.
失败的干预措施的特点是缺少这四个关键组成部分中的至少两个.
这些发现突出了有效的CS减少策略的具体,可操作的要素.

结论:

确定了成功干预女性剖腹产率降低的四个基本组成部分:基于群体的分娩,IEC材料,伴侣/家庭参与以及与医疗提供者的互动.
产妇卫生服务和医院可以整合这些组成部分,以改善准备阴道分娩并降低CS率.
优化这些组件可以增强母亲和婴儿的健康和福祉效益.

关键词:

剖腹产是一个剖腹产.这是一个复杂的干预措施.干预实施干预的实施.孕产妇健康孕产妇健康定性比较分析定性比较分析

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