在分娩期间虐待的差异
Chen Liu1, Kristen Underhill2, Janice J Aubey3
1Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York.
JAMA network open
|April 4, 2024
概括
在美国,分娩期间的虐待影响了八分之一的美国人. 诸如保险状况和意外分娩等因素与这些负面经历有关,凸显了改善产妇护理的需要.
科学领域:
- 生殖健康 生殖健康
- 产妇保健的质量 产妇保健的质量
- 健康差距 研究 研究 研究 研究
背景情况:
- 缺乏尊重的产妇护理与母亲健康差异有关.
- 在美国,在分娩期间的虐待没有充分记录.
- 了解患病率和相关因素对于改善护理至关重要.
研究的目的:
- 在一个多州样本中估计出产期间虐待的发生率.
- 为了确定与虐待经历相关的患者特征.
主要方法:
- 使用2020年6个州和纽约市的怀孕风险和监测系统数据进行横截面研究.
- 调查数据从4458名个人中收集了产后12-14个月的调查数据.
- 护理人员在分娩中的验证的不当待遇,用于衡量经验的规模.
主要成果:
- 超过13%的人报告在分娩期间遭受虐待.
- 最常见的虐待:被忽视或拒绝帮助请求.
- 相关因素包括LGBTQ+认同,医疗补助保险和意外剖腹产.
结论:
- 在分娩期间的虐待是美国的一个重大问题.
- 需要以患者为中心的系统性干预措施来解决负面的分娩经历.
- 进一步的研究应该探索与种族,种族和社会经济因素的模两可的关联.
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