在分娩期间经历了不尊重和虐待以及相关的出生特征:荷兰的一项横截面调查
Denise R Leijerzapf1,2,3,4, Marit S G van der Pijl5,6,7,8, Martine H Hollander9
1Amsterdam UMC Location Vrije Universiteit Amsterdam, Midwifery Science, Amsterdam, Netherlands. deniseleijerzapf@hotmail.com.
BMC pregnancy and childbirth
|February 29, 2024
概括
许多妇女在分娩期间经历了不尊重和虐待 (D&A),特别是医疗干预或医院分娩. 改善沟通和同意对于更好的出生体验至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 患者体验 患者体验
背景情况:
- 在分娩和分娩期间的不尊重和虐待 (D&A) 对妇女的经历产生了负面影响.
- 了解D&A的情况可以为医疗保健提供者提供信息,以改善护理并减少负面体验.
- 以前的研究表明,第一次 (primiparous) 和随后 (multiparous) 的母亲之间的D&A经验有所不同.
研究的目的:
- 为了确定荷兰分娩期间令人不安的不尊重和虐待 (D&A) 的频率.
- 为了确定与令人不安的D&A经历相关的特定出生特征,按平价分层.
- 为改善分娩期间护理质量提供数据.
主要方法:
- 一项涉及在线问卷的横截面研究,针对在荷兰分娩的16岁以上妇女 (2015-2020年).
- D&A被分为七种类型:情绪压力,言语虐待,身体暴力,沟通问题,缺乏支持,缺乏同意和歧视.
- 使用单变量和多变量逻辑回归分析来检查出生特征和D&A之间的关联,按平价分层.
主要成果:
- 45.1%的初婚妇女和27.0%的多婚妇女报告至少有一次令人不安的D&A经历.
- 缺乏同意和沟通问题是最常见的D&A类别.
- 增加D&A几率的因素包括转移护理,医院分娩,辅助阴道分娩和意外剖腹产. 医疗缓解疼痛也与D&A有关,在女性中.
结论:
- 很大一部分妇女在分娩期间遇到令人不安的不尊重和虐待的护理,特别是医疗干预,护理转移和医院设置.
- 显然需要加强分娩期间的口头/非口头沟通,支持和同意程序.
- 需要有针对性的改进,特别是在与D&A相关的情况期间和周围,以提高产妇护理质量.
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