心脏移植后围绕怀孕的患者感知和知识:一个多中心研究
Ersilia M DeFilippis1, Elena M Donald1, Karlee Hoffman2
1Center for Advanced Cardiac Care, Division of Cardiology, New York Presbyterian-Columbia University Irving Medical Center, New York (E.M. DeFilippis, E.M. Donald).
Circulation. Heart failure
|August 1, 2024
概括
存活心脏移植 (HT) 的女性希望怀孕,但往往缺乏足够的生殖健康咨询. 改善患者-提供者沟通对于支持移植后怀孕目标至关重要.
科学领域:
- 心脏病学 心脏病学
- 移植医学 移植医学
- 生殖健康 生殖健康
背景情况:
- 心脏移植 (HT) 后生育年龄妇女的生存率增加.
- 许多HT幸存者表达了怀孕的愿望.
- 关于患者对避孕,怀孕,母乳养和HT后药物安全性的观点的数据有限.
研究的目的:
- 评估患者对心脏移植后生殖健康咨询的看法.
- 评估有关避孕,怀孕,母乳养和HT后药物安全性的知识和接受咨询.
- 为了确定对希望在移植后怀孕的妇女的护理方面的差距.
主要方法:
- 进行了一项自愿的,保密的,基于网络的横截面调查.
- 参与者包括HT发生时处于生育年龄 (18-45岁) 的妇女.
- 在2005年1月至2020年1月期间,从6个大量的美国HT中心收集了数据.
主要成果:
- 64名妇女接受了移植;39.1%的妇女在移植前怀孕,9.4%的妇女在移植后怀孕.
- 53%的人认为他们缺乏足够的HT前怀孕信息;26%的人没有与他们的护理团队讨论怀孕潜力.
- 44%的人仍然觉得不了解HT后的怀孕情况,20%的人认为怀孕从来不是安全的.
结论:
- 许多心脏移植接受者觉得在移植后的生殖健康方面没有得到足够的咨询.
- 这是一个显著的机会来加强提供者教育和患者沟通.
- 需要为希望在移植后怀孕的HT妇女提供更好的支持.
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