Sociodemographic characteristics of maternal presence in neonatal intensive care: an intersectional analysis.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2024-11-21 DOI:10.1038/s41372-024-02175-z

Dana B McCarty, Shelley D Golden, Renée M Ferrari, Bharathi J Zvara, Wylin D Wilson, Meghan E Shanahan

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Abstract

Objective: Maternal presence in the Neonatal Intensive Care (NICU) supports infant and maternal health, yet mothers face visitation challenges. Based on intersectionality theory, we hypothesized that mothers of Black infants with lower socioeconomic status (SES) living further from the hospital would demonstrate the lowest rates of maternal presence.

Study design: We extracted infant race, Medicaid status, and maternal home address from 238 infant medical charts. The primary outcome was rate of maternal presence. Generalized linear modeling and binomial regression were employed for analysis.

Results: Medicaid status was the strongest single predictor of lower rates of maternal presence. Having lower SES was associated with lower rates of maternal presence in mothers of white infants, and living at a distance from the hospital was associated with lower maternal presence in mothers of higher SES.

Conclusions: Interventions to support maternal presence in the NICU should address resource-related challenges experienced by mothers of lower SES.

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新生儿重症监护中产妇的社会人口特征：交叉分析。

目的：产妇在新生儿重症监护室（NICU）的陪护有助于婴儿和产妇的健康，但产妇在探视方面却面临挑战。根据交叉性理论，我们假设社会经济地位（SES）较低的黑人婴儿的母亲住在离医院较远的地方，其母亲探视率最低：研究设计：我们从 238 份婴儿病历中提取了婴儿种族、医疗补助状况和母亲家庭住址。研究的主要结果是产妇到场率。研究采用了广义线性模型和二项回归进行分析：结果：医疗补助状况是预测产妇到场率较低的最有力因素。白种婴儿母亲的社会经济地位较低与产妇到场率较低有关，而居住地离医院较远与社会经济地位较高的母亲到场率较低有关：结论：支持新生儿重症监护室孕产妇陪护的干预措施应解决社会经济地位较低的孕产妇所面临的与资源相关的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.