患有医学并发症的妇女的生殖决策:一种定性研究
Elena M Kraus1,2, Niraj R Chavan3, Victoria Whelan4
1Department of Obstetrics, Gynecology and Women's Health, Maternal Fetal Medicine, Saint Louis University School of Medicine, St. Louis, MO, 63117, USA. Elena.kraus@commonspirit.org.
BMC pregnancy and childbirth
|December 12, 2023
概括
患有慢性疾病的妇女的生殖决策受到个人价值观的影响,而不是健康状况. 改善避孕措施的使用需要解决患者的知识和态度,而不仅仅是外部因素.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 美国生育年龄妇女中慢性疾病的患病率越来越高,增加了围产期发病率和死亡率的风险.
- 这些妇女的意外怀孕率与低风险人群相似.
- 对于这一群体的生殖决策和避孕药的使用,人们的了解有限.
研究的目的:
- 探索影响慢性疾病孕妇生殖决策的因素.
- 了解这一群体对怀孕和避孕的感知风险和益处.
主要方法:
- 进行了28次半结构面试,与被诊断患有先前存在的疾病的孕妇进行了面试.
- 通过调查和电子健康记录收集人口统计,病史和怀孕结果数据.
- 使用Dedoose®分析了采访成绩单,并进行了演和归纳内容分析.
主要成果:
- 大多数参与者都是黑人,基督徒,年收入不到23,000美元,患有各种慢性疾病.
- 关键主题包括怀孕和避孕的感知风险/益处,避孕使用的决定因素和生殖自我代理.
- 避孕被认为是可以接受的,但与身体/心理副作用有关;怀孕经常被看作是积极的,很少有计划怀孕.
结论:
- 以前存在的健康状况没有显著影响生殖决策.
- 使用避孕措施的障碍主要来自患者的价值体系,而不是外部约束.
- 干预措施应优先加强慢性疾病护理,并解决患者对避孕的知识和态度.
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