助产妇产前产后服务 (MAPS):一项回顾性队列研究,探讨围产期结果和消费者满意度
Georgia Griffin1, Kairan Meek2, Elizabeth Nathan3
1Curtin University, Curtin School of Nursing, Bentley, WA, Australia; Women and Newborn Health Service, Subiaco, WA, Australia.
概括
助产产前产后服务 (MAPS) 提供了改善的孕产妇结果,包括增加阴道分娩率和减少分娩诱导. 消费者满意度很高,强调MAPS是标准的分散产妇护理的积极替代品.
科学领域:
- 孕产妇健康 孕产妇健康
- 助产护理模型 助产护理模型
- 围产期结果 围产期结果
背景情况:
- 助产护理的连续性是消费者和劳动力的首选.
- 值班安排是实施持续助产护理的重要障碍.
- 助产产前产后服务 (MAPS) 提供连续性,没有值班或产后护理,报告高满意度.
研究的目的:
- 为了比较接受MAPS护理的妇女和匹配的标准分散护理组之间的围产期结果.
- 通过定性见解,探索女性对MAPS护理的观点.
- 为了评估助产士连续性模型的有效性,而没有应急要求.
主要方法:
- 追溯队列研究,比较223个MAPS母婴二与匹配的标准护理队列.
- 对105名消费者进行在线横截面调查,以收集定性见解.
- 使用调整后勤回归分析临床结果的分析和使用诱导性内容分析的定性数据.
主要成果:
- MAPS护理与降低引产率 (aOR 0.62) 和增加阴道分娩率 (aOR 1.53) 相关.
- 增加了"其他止痛和舒适措施"的使用 (aOR 1.94) 和减少母乳替代品养的母乳选择 (aOR 0.61) 被观察到MAPS.
- 报告了高消费者满意度 (平均4.93/5),定性主题表明支持关系护理.
结论:
- 助产产前产后服务 (MAPS) 证明了与改善母亲结果的关联.
- 定性发现强调了结构要素在支持MAPS内关系护理方面的重要性.
- MAPS为标准产妇护理提供了可行的替代方案,并提出了进一步研究的建议,以优化其整合和影响.
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