探索高风险孕妇与不同出生结果的积极偏差行为:来自印度帕尔瓦尔的定性研究
Sonia Maurya1, Krati Dixit1, Shahil Attri1
1Implementation Science, Society for Applied Studies, New Delhi, IND.
Cureus
|October 6, 2025
概括
积极的偏差做法,包括积极的健康追求和均衡的营养,对于高风险怀孕的孕妇来说,在资源较低的环境中实现健康分娩的关键. 社区的支持和赋权对于减少死产和新生儿死亡至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 印度的目标是到2030年减少死产 (SB) 和新生儿死亡,但这些不良结果仍然存在,需要社区接受和可持续的战略.
- 高风险怀孕 (HRPs) 带来了独特的挑战,了解为这些妇女带来积极结果的因素对于有针对性的干预至关重要.
研究的目的:
- 为了探索与HRPs的孕妇之间的积极偏差 (PD) 实践,这些孕妇实现了健康分娩结果.
- 为了确定积极的出生结果的促成因素,与经历SB或早期新生儿死亡 (END) 的同龄人相比.
主要方法:
- 使用28个深度访谈 (IDI) 与经历HRP (活产,SB,END) 的妇女进行定性探索性研究.
- 使用Colaizzi的七步方法进行主题分析,通过计划行为理论 (TPB) 解释.
主要成果:
- PD女性表现出积极的健康追求,均衡的营养,文化根深蒂固的体力活动和安全的睡眠,得到医疗保健工作者和家人的支持.
- 有SB/END结果的妇女经历了寻求医疗护理的延迟,不良的传统做法和障碍,家庭动态 (特别是岳母) 影响了决策.
- 更高的感知行为控制与导航约束和寻求及时护理有关.
结论:
- 在资源较少的环境中进行的孕产妇健康干预需要一种超越临床护理的综合方法,包括心理社会支持,家庭参与和社区意识.
- 赋予妇女准确的信息,情感支持和对健康选择的控制权,以及加强卫生工作者的能力和调整传统做法,对于积极的健康寻求行为和减少SBS至关重要.
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