聚焦有色人种妇女的分娩经历:质量母近小姐研究的协议
Kaitlyn Hernandez-Spalding1, Oluyemi Farinu1, Lasha Clarke1
1Center for Maternal Health Equity, Morehouse School of Medicine, Atlanta, GA, United States.
JMIR research protocols
|March 27, 2025
概括
黑人妇女面临更高的严重孕产妇并发症的风险. 这项研究探讨了不同母亲,家庭和提供者的经验,以告知政策和改善产妇护理,解决产科结果的关键种族差异.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 美国黑人妇女的严重孕产妇发病率 (SMM) 和孕产妇接近失踪率 (MNM) 是非西班牙裔白人妇女的3-4倍.
- 有限的研究存在于边缘化的女性与MNM/SMM的叙事经验和对家庭和医疗保健提供者的影响.
- 现有的差距阻碍了以患者为中心的战略的发展,以消除孕产妇健康结果中的种族差异.
研究的目的:
- 收集不同母亲,他们的支持系统和医疗保健提供者关于MNM和SMM经验的见解.
- 为立法,临床实践和基础设施开发提供信息,以加强对孕产妇护理的社会支持.
- 采用讲故事方法来识别多种孕产妇/多种孕产妇的风险因素和原因,为改善孕产妇条件和预防提供政策信息.
主要方法:
- 莫尔豪斯医学院与社区组织合作进行的一项多阶段定性研究.
- 第一个阶段:对经历了MNM/SMM的分娩妇女 (n≤87) 进行定性采访.
- 第二阶段:对伴侣/支持人员 (n≤50),医疗保健提供者 (n≤50) 和因妊娠并发症而失去母亲的成年人 (n≤50) 的定性采访.
主要成果:
- 第1阶段招募已经完成,有87名参与者;74%的参与者是黑人或非洲裔美国人.
- 严重的孕前是最常见的不良体验 (46%的参与者).
- 目前正在进行质量面试,第二阶段招聘计划于2023年7月至2024年12月.
结论:
- 调查结果将阐明分娩妇女面临严重产科并发症的经历.
- 该研究将揭示合作伙伴,支持人员和医疗保健提供者对这些并发症的看法.
- 洞察力将揭示与怀孕相关的并发症对丧亲家庭和社区成员的影响.
关键词:
黑人女性,黑人女性.美国的美国.在产前产前产前产前生产经验的经验.孩子的出生,就是分娩.不同的差异,不平等的差异.民族是民族的 民族是民族的经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验.孕产妇的健康差异孕产妇发病率 孕产妇发病率母亲的附近的小姐姐.心理健康 心理健康少数群体的健康问题基于叙事的医学是基于叙事的医学.患者为中心,以患者为中心.在分娩后的产后.怀孕 怀孕 怀孕 怀孕 怀孕这是种族歧视.在社会经济上.女人 女人 女人 女人 女人相关概念视频
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