产后护理的父母婴儿双:一个社区助产士模型
Ariana Thompson-Lastad1,2, Jessica M Harrison1, Tanya Khemet Taiwo3
1Osher Center for Integrative Health, University of California, San Francisco, California, USA.
Birth (Berkeley, Calif.)
|April 9, 2024
概括
社区助产士提供增强的产后护理,多次访问和持续支持,符合世界卫生组织的指导方针. 这种模式可以改善美国的母亲和婴儿健康状况.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 助产士的护理 助产士的护理
背景情况:
- 美国的产后健康面临着危机,死亡率和种族差异不断增加.
- 世界卫生组织 (WHO) 建议进行四次分娩后访问,与美国标准的六周一次访问形成鲜明对比.
- 社区助产护理是与世卫组织指导方针相一致的模式,以提高产后结果.
研究的目的:
- 描述美国社区助产士产后护理模式.
- 突出其改善分娩个人和婴儿健康的潜力.
- 提出一个解决当前产后护理缺口的模型.
主要方法:
- 在俄勒冈州和加利福尼亚州,与34名社区助产士进行了半结构面试.
- 参与者包括经过认证的专业助产士和经过认证的护士助产士,种族背景和语言多样化.
- 数据由一个多学科团队使用反射主题分析来分析.
主要成果:
- 社区助产士模式有六个关键元素:多次访问 (6周内5-8次),家庭访问,父母婴儿双层护理,连续性,个性化护理和专注于休息.
- 护理是以人际关系为中心的,包括对分娩后期的规划和准备.
- 相当一部分助产士被认定为有色人种,并讲多种语言.
结论:
- 社区助产士模式为父母婴儿二极管提供符合指导方针的产后护理.
- 这种方法有可能减轻美国与怀孕相关的发病率和死亡率的上升.
- 它为改善产后健康结果和解决不平等问题提供了一个框架.
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