19世纪瑞典受过培训的助产士协助分娩的人口差异:它对婴儿存活有什么影响?
1Centre for Demographic and Ageing Research, Umeå University, Umeå, Sweden; Department of Sociology, Umeå University, Umeå, Sweden.
概括
在19世纪的瑞典,受过培训的助产士越来越多地被使用,特别是在高风险的分娩中. 他们的帮助与新生儿死亡率的降低有关,特别是在1880年后,随着消毒方法的出现.
科学领域:
- 历史人口统计 历史人口统计
- 医疗史 病史 病史
- 公共卫生 公共卫生
背景情况:
- 19世纪的瑞典看到了不断发展的分娩实践.
- 训练有素的助产士的作用和影响尚未完全被理解.
- 在获得医疗保健方面存在区域差异.
研究的目的:
- 检查影响19世纪瑞典受过培训的助产士利用的社会和人口因素.
- 在受过培训的助产士和没有受过培训的助产士参加的分娩之间比较新生儿,新生儿后和儿童死亡率.
- 评估受过培训的助产士对婴儿死亡率趋势的影响.
主要方法:
- 分析了瑞典116,597次出生的人口数据.
- 逻辑回归模型用于评估关联.
- 在19世纪下半叶对出生进行检查.
主要成果:
- 经过培训的助产士使用的区域差异很大.
- 训练有素的助产士更常用于高风险和已婚妇女的分娩.
- 在这个时期 (1860-1869年) 早期,人们注意到新生儿后死亡率的风险增加,而新生儿死亡率的风险在后来 (1890-1894年) 降低.
结论:
- 训练有素的助产士在19世纪瑞典分娩中发挥了越来越大的作用.
- 助产士的协助有助于降低婴儿死亡率.
- 从1880年开始,消毒方法的兴起与改善的结果相吻合.
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