印度尼西亚的尊重产妇护理:以多中心研究方法进行因素分析
Sofia Al Farizi1, Endyka Erye Frety1, Dewi Setyowati1
1Midwifery Study Program, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
Midwifery
|May 12, 2025
概括
印度尼西亚的尊重产妇护理 (RMC) 受到了医疗干预和侵入性手术的影响. 解决这些因素对于改善妇女的分娩经历和维护她们的身体自主性至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 尊重产妇护理 (RMC) 涵盖了分娩的伦理,心理和文化方面.
- 印尼在RMC实施方面面临挑战,患者自主权有限,医疗干预普遍存在.
- 剖腹产和腹切割术是常见的,这表明需要在转诊医院分析RMC因素.
研究的目的:
- 为了分析尊重产妇护理 (RMC).
- 确定影响印尼转诊医院RMC的因素.
主要方法:
- 一个多中心,基于机构的横截面研究.
- 包括怀孕后期第二或第三季度初 (26-30周) 的孕妇.
- 分析使用多重线性回归来确定显著的影响变量 (p ≤0.05).
主要成果:
- 六个变量显著影响了RMC得分:分娩方法,延长的分娩,产后出血 (PPH),重复的阴道检查,表皮切割和分娩位置.
- 这六个因素占RMC分数差异的44.1%.
结论:
- 医疗干预 (剖腹产,腹切割) 和侵入性手术 (重复性阴道检查) 对RMC产生负面影响.
- 研究结果强调,印尼需要以妇女为中心的护理,以保护妇女的权利,改善分娩经验,即使有并发症.
- 促进RMC可以为经历产后出血和延长分娩的妇女带来更好的结果.
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