生育计划对出生结果的预测价值:系统性审查,以告知分娩方式的决策
Giulia Bonanni1, Vivian Nguyen2, Alireza A Shamshirsaz3
1Fetal Care and Surgery Center, Division of Fetal Medicine and Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States; Department of Women, Children, and Public Health Sciences, IRCCS Agostino Gemelli University Polyclinic Foundation, Catholic University of the Sacred Heart, Rome, Italy.
European journal of obstetrics, gynecology, and reproductive biology
|January 24, 2025
概括
女人 女人 女人 女人 女人
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 家庭社会学 家庭社会学
背景情况:
- 剖腹产产率的上升需要更好的孕产妇健康咨询.
- 了解生育意向的稳定性和预测能力至关重要.
研究的目的:
- 审查女性生育计划随时间变化的一致性.
- 评估这些计划对实际分娩事件的预测价值.
主要方法:
- 在2023年10月之前对四个数据库 (PubMed,EMBASE,Web of Science,PsycINFO) 进行系统审查.
- 包括44项研究,其中132,846名妇女在两个时间点评估生育计划.
- 分析使用随机效应模型来计算风险比率和标准化平均差异.
主要成果:
- 平均理想家庭规模为2.63个孩子,保持稳定.
- 计划生育的计划一般稳定 (74%),但10-12%的计划出现了转变.
- 积极计划强烈预测分娩 (RR=3.95);负面计划的预测性较低,特别是在多夫妇妇女中.
结论:
- 计划生育的意图大多是稳定的,尽管少数女性会改变主意.
- 积极的生育意图显著增加了分娩的可能性.
- 建议对影响计划的人口和文化因素进行进一步的研究,特别是对于年长的无婚妇女来说.
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
115
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
115
Decision Making: P-value Method
5.3K
The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
5.3K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Probability Laws
39.8K
Overview
39.8K
Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Decision Making: Traditional Method
4.0K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
4.0K


