产科暴力和患者选择的作用:与表皮切割相关的因素
Mounika Polavarapu1, Dorian S Odems1,2, Sativa Banks1
1Department of Population Health, The University of Toledo, Toledo, Ohio.
Journal of midwifery & women's health
|May 25, 2024
概括
产科暴力,包括缺乏知情同意,与切相关. 遭受粗暴待遇的女性在手术中不太可能有选择,这突出了改善患者自主权的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 患者权利 患者权利
背景情况:
- 产妇暴力影响美国6分之一的妇女,包括虐待,胁迫和缺乏知情同意.
- 常规表皮切除术是不鼓励的,但其发生率在美国各地有很大的差异.
- 这项研究调查了产科暴力和表皮切除术之间的关系,包括患者的选择.
研究的目的:
- 分析与进行表皮切割相关的产科暴力形式.
- 检查影响患者选择进行表皮切除术的因素.
主要方法:
- 来自加利福尼亚州倾听母亲的横截面调查数据的分析.
- 使用后勤回归模型进行加权样本分析.
- 调整的赔率比率 (aORs) 和95%的置信区间 (CI) 的计算.
主要成果:
- 21%的受访者接受了表皮切除术;75%的受访者没有选择.
- 劳动诱导的压力 (aOR,1.31) 和外周止痛 (aOR,1.82) 增加了表皮切除术的几率.
- 助产士的存在降低了表皮切除术的几率;粗略的治疗减少了选择 (aOR,0.05).
结论:
- 第一个将产科暴力与表皮切割和患者选择联系起来的研究.
- 针对产科暴力和知情同意的标准化措施至关重要.
- 聘请助产士可以减少不必要的手术和并发症.
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