在英格兰的一般实践中,怀孕前的护理:使用行政例行健康数据进行横截面观察研究
Yangmei Li1, Jennifer J Kurinczuk2, Fiona Alderdice2
1NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK. yangmei.li@ndph.ox.ac.uk.
怀孕前护理 (PPC) 很少被记录在英国的初级保健中,这表明错过了优化孕产妇健康的机会,特别是在有风险因素的妇女身上. 尽管有健康促进努力,但有针对性的护理仍然很低.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 初级保健研究研究初级保健研究
背景情况:
- 优化妊娠前健康 (PPC) 对母亲和婴儿的福祉至关重要.
- 英国怀孕前的护理主要是在初级保健机构提供.
- 妇女在很大程度上负责寻求妊娠前护理服务.
研究的目的:
- 描述妇女在怀孕前一年与全科医生 (GP) 进行妊娠前护理的参与.
- 探索有确定的风险因素的妇女是否接受有针对性的怀孕前护理.
- 分析特定怀孕前护理和一般健康促进的记录.
主要方法:
- 使用了来自临床实践研究数据链接 (CPRD) 的GOLD数据,用于18-48岁的女性,在全科医生注册超过12个月.
- 包括人口特征,生活方式因素和健康状况.
- 使用CPRD怀孕登记册和2017/18相关的医院数据确定了怀孕情况.
主要成果:
- 7.6%的孕妇有特殊妊娠前护理 (PPC) 的记录.
- 41.0%的人获得了一般健康促进 (营养,吸烟,体重,酒精,避孕).
- 患有先前疾病的妇女的健康促进率较高 (46.0%-83.9%),但PPC低 (4.7%-14.9%).
结论:
- 怀孕前的护理很少被记录下来,这表明怀孕计划的咨询或讨论很少.
- 这代表了改善妇女健康的重大错失机会.
- 针对有风险因素的妇女的有针对性的护理是不够的,影响怀孕和长期结果.
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