巴西产科医生的知识,态度和实践与分娩护理有关
Rosa Maria Soares Madeira Domingues1, Marcos Augusto Bastos Dias2, Romina Margarita Hamui3
1Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
产科医生在分娩护理方面表现出良好的知识和实践,但在护士助产士参与和某些程序方面存在局限性. 解决对诉讼的恐惧是降低巴西高剖腹产率的关键.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 了解产科医生对分娩护理的看法对于改善母亲和婴儿的结果至关重要.
- 在巴西,公共部门和私营部门之间存在医疗保健实践的差异.
研究的目的:
- 分析巴西产科医生关于分娩护理的知识,态度和做法.
- 确定导致高剖腹产率的因素.
主要方法:
- 在巴西393家医院的1267名医生进行了全国性的横截面研究.
- 匿名,自我管理的问卷.
- 统计分析的奇平方测试 (p<0.05).
主要成果:
- 高水平的知识和采用最佳实践的饮食,运动,伴侣的存在,和非药物止痛.
- 在护士-助产士参与,仪器分娩,直立姿势和表皮切除术的使用方面发现了限制.
- 法律诉讼的恐惧和不必要的剖腹产指示被列为高率的原因;私人服务对剖腹产安全的看法更为积极,对护士助产士的接受度更低.
结论:
- 公共和私人服务之间的差异凸显了针对性战略的必要性.
- 干预措施应集中在减少剖腹产率和促进基于证据的分娩实践上.
- 医学院和专业化课程必须解决影响剖腹产决定的因素.
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