在低收入环境中寻求生育护理的患者的特征
Miriam Tarrash1, Olutunmike Kuyoro1, Randi H Goldman1
1Donald and Barbara Zucker School of Medicine at Hofstra North Shore University Hospital Northwell Health Fertility Manhasset NY USA Northwell Health Fertility, North Shore University Hospital/Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
JBRA assisted reproduction
|January 30, 2024
概括
许多患者面临着不孕治疗的障碍. 这项研究发现,虽然大多数人完成了初步的实验室工作,但更少的人接受了成像或男性伴侣分析,突出了服务不足的人群的访问挑战.
科学领域:
- 生殖内分泌学和不孕不育问题
- 健康差异 在健康上的差异
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 患者面临着对生育治疗的重大障碍,包括财务限制,延迟的专家转诊,低健康素养和语言差异.
- 纽约医疗补助计划涵盖了基本的不孕症诊断服务,如办公室访问,血液检查,宫造影 (HSG) 和盆腔超声波.
研究的目的:
- 为了描述寻求生育护理的服务不足的患者.
- 评估这一群体中初始生育检查完成率.
主要方法:
- 在纽约的一家住院/同事生殖内分泌学家 (REI) 诊所对87名患者进行了回顾性研究.
- 从2020年9月到2022年1月收集的数据.
主要成果:
- 大多数患者有医疗补助计划,英语,西班牙语和孟加拉语是主要语言.
- 虽然大多数患者完成了实验室工作 (70-80%),但接受HSG的患者较少 (59.8%),只有27.6%的伴侣完成了精液分析 (SA).
- 在人口群体之间完成完整的不孕症工作中存在显著的差异 (p<0.05).
结论:
- 完成生育工作,特别是男性伴侣分析和成像,对服务不足的患者构成挑战.
- 需要进一步的研究来确定患者的特征和社会因素限制这些社区获得生育护理的机会.
相关概念视频
Infertility in Males
264
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
264
Infertility in Females
301
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
301
In Vitro Fertilization
270
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
270
Spermatogenesis
102.5K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.5K
Specialized Care Centers and Settings-II
726
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
726
Nursing Ethical Principles II
979
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
979


