与高风险人群中产后咨询缺失相关的因素
Ana Carolina Gomes Pereira1, Tábata Regina Zumpano Dos Santos1, Helymar da Costa Machado1
1Universidade Estadual de Campinas CampinasSP Brazil Universidade Estadual de Campinas, Campinas, SP, Brazil.
概括
在高风险怀孕中观察到高产后预约缺席率 (34.8%). 较短的分娩间隔和多夫妇关系等因素与错过的预约有关,这表明需要改进产后护理策略.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 产后护理对于母亲的健康至关重要,尤其是在高风险的怀孕中.
- 不参加产后预约可能会导致不良健康结果.
- 识别与错过预约相关的因素对于改善护理坚持是必不可少的.
研究的目的:
- 为了确定高风险妊娠转诊中心产后预约错过的比例.
- 为了比较参加和错过产后预约的妇女.
- 为了确定与不出席相关的因素.
主要方法:
- 对1629名2018年计划进行产后咨询的妇女进行了回顾性横截面研究.
- 从电子医疗记录中分析个人,产科和产周变量.
- 统计测试包括千平方,费舍尔的精确,曼-惠特尼和ROC曲线分析.
主要成果:
- 遗漏产后咨询的比例为34.8%.
- 与缺席相关的因素包括较短的分娩间隔 (p = 0.039),精神活性物质使用 (p = 0.027),吸烟 (p = 0.003) 和多对 (p < 0.001).
结论:
- 很大一部分高危孕妇错过了产后预约.
- 缺席与临床严重性和社会脆弱性因素有关.
- 需要新的策略来改善产后约会的坚持,特别是在多夫妇妇女中.
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