产妇护理提供者对晚期妊娠管理 (LATE研究) 的看法:一项跨部门调查
Anna E Seijmonsbergen-Schermers1,2,3,4, Fatima Hammiche5,6, Hannah de Klerk1,2,3,4
1Department of Midwifery Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
PloS one
|August 18, 2025
概括
产妇护理提供者在很大程度上支持在41周提供分娩诱导. 然而,坚持共享决策细节和对指导方针的信心.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 基于证据的医学基于证据的医学.
背景情况:
- 荷兰国家指南更新了管理晚期怀孕的建议.
- 了解产妇护理提供者对本指南的经验对于有效实施至关重要.
研究的目的:
- 检查产妇护理提供者的经验和观点,更新的荷兰国家指南晚期怀孕.
- 评估指南对日常工作和遵守其建议的影响.
主要方法:
- 在2024年,在荷兰产妇护理提供者中进行了一项横截面的在线调查.
- 该调查包括初级保健和医院助产士,住院医生和产科医生,使用5分利克尔特尺度.
- 进行描述性分析和线性回归来评估意识,同意,坚持和感知到的好处.
主要成果:
- 报告说,在41周提供分娩诱导时,同意率高 (72%) 和坚持率高 (87%).
- 对讨论结果的同意率很高 (92%),但对指定围产期结果 (67%) 和不同平价群体的结果 (63%) 的同意率较低.
- 遵守监测建议的比例在43%-59%之间,提供者对产妇和新生儿福利的不确定性很大 (45%).
结论:
- 产妇护理提供者普遍同意并坚持在41周提供分娩诱导.
- 遵守指南的共同决策组成部分的程度较低.
- 提供者对指南对母亲和新生儿的益处表示有限的信心.
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