负面出生体验的流行:系统性审查和元分析
Marzieh Bagherinia1, Arezoo Haseli2,3, Elham Bagherinia4
1Reproductive Health, Clinical Research Development Center, Motazedi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC pregnancy and childbirth
|February 14, 2025
概括
大约16%的妇女报告了负面的分娩经历. 这一系统性审查强调了需要进行干预措施,以改善孕妇在怀孕和分娩期间的母亲福祉.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 出生经历是复杂的,主观的,受到文化,社会和政策因素的影响.
- 负面的分娩经历可以对妇女的生活产生显著的短期和长期影响.
- 估计负面分娩经历的流行率对于有针对性的干预措施至关重要.
研究的目的:
- 系统地审查和对负面分娩经历的流行情况进行元分析.
- 为了提供一个全面的估计,如何普遍的负面分娩经验是全球.
主要方法:
- 在没有时间限制的情况下,对已发表的观察性研究进行系统审查.
- 搜索了多个数据库,包括PubMed/Medline,Embase,科学网,Scopus,ProQuest和谷歌学者.
- 使用R软件进行的元分析,用Cochran的Q和I2测试评估异质性.
主要成果:
- 包括19项观察性研究,共涉及73,353名女性,在2001年至2024年期间发表.
- 负面分娩经历的综合流行率估计为16% (95% CI: 10-22%).
- 出版偏差分析表明,小研究效应的可能性很大.
结论:
- 负面分娩经历的总体患病率为16%.
- 鉴于对妇女生活的深远影响,需要加强对积极分娩经验和干预措施的关注.
- 需要进一步的研究和临床关注,以改善产妇在分娩期间的结果和满意度.
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