劳动和分娩的特点 通过详细的母婴在整个黑人民:分娩的地方和方法
Farida N Yada1,2, Larissa R Brunner Huber3, Candace S Brown3
1Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA. farida.yada@tufts.edu.
Journal of racial and ethnic health disparities
|August 14, 2024
概括
详细的母亲出生影响美国黑人妇女的出生地点和方法. 出生在国外的黑人妇女在非医院分娩的次数较少,但剖腹产的几率增加,凸显了母亲护理方面的差异.
科学领域:
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
- 流行病学 流行病学
背景情况:
- 孕产妇的出生是健康结果的重要决定因素.
- 美国的黑人女性代表着不同的起源,包括拉丁美洲,加勒比海和撒哈拉以南非洲 (SSA).
- 通过详细的孕产妇出生 (DMN) 来了解分娩 (L&D) 特征的变化,对于解决健康差异至关重要.
研究的目的:
- 检查美国黑人妇女的详细母亲出生 (DMN) 和分娩地点/方法之间的关联.
- 为了比较美国出生的,拉丁美洲/加勒比出生的和南非出生的黑人女性的L&D特征.
- 根据母亲的出生国来识别出产经验的潜在差异.
主要方法:
- 利用了2016-2020年美国出生数据 (N=2,041,880个活产).
- 分析了母亲的详细出生 (出生国) 和分娩地点 (医院,分娩中心,家庭) 和分娩方法 (阴道,剖腹产) 之间的关联.
- 采用多变量多项和逻辑回归模型来评估关联.
主要成果:
- 与美国出生的黑人妇女相比,在国外出生的黑人妇女在分娩中心或家中分娩的几率通常较低.
- 加纳出生的妇女显示,意外家庭分娩的几率增加.
- 在拉丁美洲和加勒比地区出生的妇女,以及大多数在拉丁美洲和加勒比地区出生的妇女,出现剖腹产的几率增加.
结论:
- 详细的母亲生育对于理解劳动和分娩特征的变化至关重要.
- 拉丁美洲/加勒比地区出生的妇女中剖腹产率的增加需要有针对性的干预措施.
- 需要进一步的研究,以了解潜在的因素,并制定战略,为各种外国出生的黑人人口提供公平的分娩体验.
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