多元文化杜拉支持和产科和新生儿结果:挪威的多中心比较研究
Hanna Oommen1,2,3, Linda Reme Sagedal4,5,6, Jennifer J Infanti7
1Department of Research, Sørlandet Hospital Kristiansand, Kristiansand, Norway. Hanna.Oommen@sshf.no.
BMC pregnancy and childbirth
|December 23, 2024
概括
挪威的多元文化杜拉 (MCD) 计划改善了移民妇女的怀孕护理. 支持MCD减少了紧急剖腹产,产后出血,增加了疼痛缓解和母乳养率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 移民健康 移民健康
背景情况:
- 移民妇女面临更高的妇产和新生儿不良结果的风险.
- 挪威的多元文化杜拉 (MCD) 计划旨在加强弱势移民群体的怀孕护理.
研究的目的:
- 评估MCD支持,除了标准护理,对新抵达的移民妇女的产科和新生儿结果的影响.
主要方法:
- 一项多中心病例控制研究比较了339名接受MCD支持的妇女和339名没有接受MCD支持的妇女.
- 数据从2018-2023年期间的医院记录中收集.
- 用二进制物流回归分析来确定关联.
主要成果:
- 支持MCD与急诊剖腹产减少41% (aOR0.59) 有关.
- 阴道分娩的妇女有75%的较低风险显著失血 (aOR 0.25).
- 支持MCD也增加了缓解疼痛的使用率 (aOR 2.88) 和纯母乳养率 (aOR 2.26).
结论:
- 支持MCD显示出改善弱势移民群体产科和新生儿结果的潜力.
- 这种干预措施可能会对移民妇女的生殖健康和她们孩子的福祉产生积极影响.
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