孕产妇特征和美国产前护理:与新生儿健康和产后孕产妇福祉的关联
Inga Nordgren1, Robert J Duncan2, Kameron J Moding3
1Department of Human Development and Family Science, Purdue University, West Lafayette, Indiana, United States. inganordgren24@gmail.com.
Maternal and child health journal
|July 7, 2025
概括
积极的产前护理经验,特别是响应性提供者行为,显著改善产后母亲的福祉. 在怀孕期间解决母亲的健康需求也会影响新生儿的结果,减少NICU的入院.
科学领域:
- 孕产妇和儿童的健康
- 心理社会 产科 产科 心理社会
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产前护理对于健康的父母和新生儿的结果至关重要,但了解产前护理经验的全部影响仍然不完整.
- 社会人口学和怀孕特征影响新生儿健康和母亲福祉,但通过产前护理经验来调解它们需要进一步调查.
研究的目的:
- 探索产前护理经验在将母亲特征与新生儿健康和产后母亲福祉联系起来的调解作用.
- 分析诸如提供者响应度和访问时间等因素如何影响婴儿健康和母亲的心理社会结果.
主要方法:
- 使用了"倾听母亲III"数据集 (N=2,400),其中18-45岁的参与者在2011年7月至2012年6月期间分娩.
- 采用了两种路径分析模型来检查母亲特征和产前护理经验对婴儿健康 (早产,低出生体重,新生儿护理室停留) 和母亲福祉 (社会支持,抑郁,信心) 的影响.
主要成果:
- 怀孕期间对抑郁症或吸烟治疗的感知需要与NICU入院率的增加相关 (分别为0.15和0.20的比例).
- 在产前护理中的响应性提供者行为与更高的社会支持 (b=0.29),抑郁症状减少 (b=-0.20) 和母亲信心增加 (b=0.07) 有关.
结论:
- 虽然母亲因素影响新生儿健康,但产前护理的人际关系方面,特别是提供者响应能力,是产后母亲福祉的关键调解因素.
- 医疗保健提供者应在产前访问期间优先考虑响应和支持互动,以增强母亲的心理健康和信心.
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