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在分娩期间经历体重耻辱会增加剖腹产分娩的几率
Regula A Schwenk1, Carmen Wyss1, Evelyne M Aubry2,3
1Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
BMC pregnancy and childbirth
|February 21, 2025
概括
肥胖妇女在分娩期间经历了更多的体重耻辱,这与剖腹产 (CB) 的更高几率有关. 在产妇护理中解决体重偏差可以改善这些妇女的结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 体重偏差的临床实践会对肥胖妇女的护理质量产生负面影响,增加不良分娩结果的风险.
- 在瑞士产妇机构分娩期间的体重耻辱被评估,以了解其对母亲健康的影响.
- 该研究假设体重耻辱影响出生结果,特别是剖腹产 (CB).
研究的目的:
- 确定在瑞士分娩期间妇女所经历的体重耻辱的频率,来源和表现.
- 调查体验过的体重耻辱和剖腹产 (CB) 之间的关联.
- 分析体重耻辱在人体质量指数 (BMI) 和CB之间的关系中的调解作用.
主要方法:
- 一项全国性的横截面在线调查对1352名在过去五年内分娩的妇女进行了调查.
- 双项逻辑回归被用来根据经历过的体重耻辱来预测CB.
- 调解分析检查了体重耻辱在怀孕前的BMI和CB之间的作用.
主要成果:
- 肥胖女性 (BMI ≥30 kg/m2) 报告体重耻辱的比率较高,与健康体重的同龄人相比.
- 产科医生是体重耻辱的主要来源 (77.8%),其次是护士 (21.7%) 和助产士 (23.8%).
- 增加体重耻辱的频率与更高的胎儿内CB概率相关,并部分调解了BMI-CB关系.
结论:
- 肥胖妇女在分娩时面临不成比例地更高的体重耻辱,这直接与剖腹产的几率增加有关.
- 医疗保健提供者意识和偏见减少对于改善肥胖妇女的护理质量和健康结果至关重要.
- 解决孕产妇护理中的体重耻辱问题对于公平有效的孕产妇医疗保健至关重要.
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