怀孕负担:怀孕隐藏挑战的综合性审查和维度分析
Hannah E Kumarasamy1, Felesia Bowen2, Becca Billings3
1University of Alabama, School of Nursing, Birmingham, Alabama.
Journal of midwifery & women's health
|May 22, 2025
概括
怀孕负担是一个多维的体验,影响健康,财务和社会支持,但仍未得到充分研究. 了解这种负担是改善个人整体怀孕体验的关键.
科学领域:
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
- 定性研究是指质量研究.
背景情况:
- 传统上,分娩结果的重点是生存,忽视了孕妇的综合体验.
- 怀孕可以带来重大的身体,精神,社会和财务负担,常常由现有的生活压力因素加剧.
- 全球现有的健康和社会系统可能缺乏足够的资源来支持怀孕的多面负担.
研究的目的:
- 探索和概念化"怀孕负担"的现象.
- 为了解除了生存结果之外,了解怀孕的全面经验的差距.
主要方法:
- 采用了综合性审查方法,系统地搜索了5个数据库.
- 对37个符合纳入标准的文章进行了维度分析,以定义怀孕负担.
- 分析的重点是孕妇的观点,以了解她们的个人经历.
主要成果:
- 怀孕负担是一个多维的概念,目前没有正式的定义.
- 确定了怀孕负担的五个主要方面:健康,教育,财务/成本,不平等和社会支持.
- 孕期负担的贡献者既是内在的,也是外在的,影响孕妇,她们的社交网络和医疗保健系统.
结论:
- "负担"的概念在慢性病文献中已经很成熟,但在怀孕研究中未得到充分利用.
- 怀孕负担是一个现有的,但未经分类和研究的现象.
- 承认和重视怀孕经验的全部范围,包括其负担,可以提高孕产妇的护理和结果.
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