在荷兰的COVID-19封锁期间选择家庭分娩,谁以及为什么:全国前性问卷研究研究
Benjamin Y Gravesteijn1, Nienke Boderie2, Roseriet Beijers3
1Department of Obstetrics and Gynaecology, Amsterdam UMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands; Amsterdam Reproduction and Development research institute, Amsterdam, The Netherlands; Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Midwifery
|March 11, 2025
概括
在COVID-19封锁期间,更多的妇女选择在家分娩而不是医院分娩. 那些选择在家分娩的人有较少的风险因素,并且对医院的COVID-19相关担忧更高.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19 流行病和相关的封锁严重影响了医疗保健决策,包括出生地点偏好.
- 荷兰在最初的封锁期间 (2020年3月至6月) 观察到家庭分娩率的增加.
研究的目的:
- 在荷兰首次COVID-19封锁期间,探索孕妇的特征和动机,她们在首次COVID-19封锁期间将自己喜欢的分娩地点从医院切换到家庭分娩.
- 为了比较那些改变了出生偏好的女性与那些保持了原来的选择的女性.
主要方法:
- 进行了一项全国范围的前性在线问卷调查.
- 在第一波COVID-19浪潮 (2020年4月至5月) 和随访期间,从孕妇收集了数据.
- 参与者包括778名在封锁期间怀孕的妇女,将那些改变出生偏好到家庭分娩的人与那些没有这样做的人进行比较.
主要成果:
- 最常见的偏好变化是从医院到家庭分娩 (15%),主要被认为是选择 (84%).
- 与那些保持住医院分娩偏好的女性相比,喜欢在家分娩的女性的风险因素较少 (-11%),COVID-19相关的担忧较高 (+0.09).
- 关键问题包括缺乏社会支持和担心在医院暴露于COVID-19的恐惧.
结论:
- 在封锁期间选择在家分娩的妇女,风险因素较少.
- 与COVID-19相关的担忧增加,特别是关于医院环境的担忧,促使人们转向家庭分娩.
- 这些发现突出了与流行病相关的焦虑对孕产妇医疗保健选择的影响.
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