语言能力和孕产妇和新生儿的不良结果:一个回顾性队列研究
Valerie Melson1, Benjamin G Gorman1,2, Sanjna Rajput1
1Mayo Clinic Alix School of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
BJOG : an international journal of obstetrics and gynaecology
|September 8, 2025
概括
具有有限英语水平 (LEP) 的孕妇面临更高的不良分娩结果风险,包括妊娠糖尿病和产后出血. 即使有口译服务,这些风险仍然存在,这凸显了产妇和新生儿护理方面的差异.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 有限的英语水平 (LEP) 是医疗保健获取和质量的障碍.
- 了解孕妇LEP患者的不良结果对于改善母亲和新生儿健康至关重要.
- 现有的研究可能无法完全捕捉到在使用口译服务的不同环境中的结果.
研究的目的:
- 为了比较英语熟练 (EP) 和LEP孕妇之间的孕产妇和新生儿不良结果.
- 为了确定在LEP组中更普遍的特定不良结果.
- 评估语言能力对学术医疗中心的分娩结果的影响.
主要方法:
- 对2015-2019年间分娩的孕妇进行了回顾性队列研究.
- 对EP (n=10,427) 和LEP (n=900) 的个人进行比较.
- 用后勤回归分析复合母婴和新生儿不良结果的分析,控制临床因素.
主要成果:
- 在LEP患者中,妊娠糖尿病,ICU入院,子宫破裂,输血产后出血,新生儿死亡和低Apgar分数的发生率较高.
- 复合不良结果在LEP组中更为普遍.
- 调整后的分析显示,LEP和复合不良结果之间存在显著的关联 (OR,1.40;95% CI,1.03-1.90).
结论:
- 有LEP的孕妇经历了不良分娩结果的增加.
- 尽管有医疗口译服务,但这些差异仍然存在.
- 需要进一步的干预措施来减轻LEP孕妇的风险.
关键词:
孩子的出生,就是分娩.一个翻译,一个翻译.语言能力 语言能力.有限的英语能力.孕产妇健康 孕产妇健康孕产妇发病率 孕产妇发病率新生儿发病率 新生儿发病率怀孕 怀孕 怀孕 怀孕 怀孕怀孕并发症 怀孕并发症翻译翻译翻译翻译翻译翻译更多相关视频
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