Midwifery最新文献_第10页

Identification of postpartum symptom informedness and preparedness typologies and their associations with psychological health: A latent class analysis 识别产后症状知情和准备类型及其与心理健康的关系：潜类分析

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-24 DOI: 10.1016/j.midw.2024.104115

Jihye Kim Scroggins , Katharine E. Bruce , Alison M. Stuebe , Jenifer O. Fahey , Kristin P. Tully

Background

Birthing parents, defined as postpartum women and people with various gender identities who give birth, commonly experience challenging postpartum symptoms. However, many report feeling uninformed and unprepared to navigate their postpartum health.

Objective

To identify typologies of postpartum symptom informedness and preparedness using latent class analysis (LCA) and to examine the associated patient and healthcare characteristics.

Methods

We used survey data from a large, multi-method, longitudinal research project Postnatal Safety Learning Lab. Participants were recruited using convenience sampling and enrolled between November 2020 and June 2021. LCA was used to identify subgroups of birthing parents with different symptom informedness and preparedness using 10 binary variables (N = 148). Bivariate analysis was conducted to examine the association between characteristics and each typology.

Findings

The 3-class models had better fit indices and interpretability for both informedness and preparedness typologies: High, High-moderate, and Moderate-low. The sample characteristics were different by typologies. In the modified discrimination in medical settings assessment, we found higher discrimination scores in the moderate-low informedness and preparedness typologies. The moderate-low preparedness typology had a higher percentage of birthing parents who did not have private insurance, underwent cesarean section, and planned for formula or mixed infant feeding. The median PHQ-4 scores at 4 weeks postpartum were lower among those in high informedness and preparedness typologies.

Conclusion

In our sample, 18 to 21 % of birthing parents were in the moderate-low informedness or preparedness typologies. Future research and practice should consider providing tailored information and anticipatory guidance as a part of more equitable and supportive care.

背景分娩父母是指产后妇女和具有不同性别身份的分娩者，他们通常会经历具有挑战性的产后症状。目标使用潜类分析（LCA）确定产后症状知情度和准备度的类型，并研究相关的患者和医疗保健特征。方法我们使用了大型、多方法、纵向研究项目 "产后安全学习实验室 "的调查数据。我们采用便利抽样的方式招募参与者，并在 2020 年 11 月至 2021 年 6 月期间注册。采用 LCA 方法，利用 10 个二元变量（N = 148）识别出症状知情度和准备程度不同的分娩父母亚群。对每个类型的特征之间的关联进行了双变量分析。研究结果对于知情度和准备度类型，三类模型具有更好的拟合指数和可解释性：高、高-中和中-低。不同类型的样本特征各不相同。在修改后的医疗环境辨别力评估中，我们发现中低知情度和准备度类型的辨别力得分较高。在中低准备度类型中，没有私人保险、接受剖腹产手术、计划用配方奶粉或混合奶粉喂养婴儿的分娩父母比例较高。结论在我们的样本中，18% 到 21% 的分娩父母属于中低知情度或准备度类型。未来的研究和实践应考虑提供有针对性的信息和预期指导，作为更公平和支持性护理的一部分。

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引用次数: 0

"Understanding knowledge and attitudes regarding hypertensive disorders of pregnancy among expectant women in Brunei Darussalam: A nationwide study" "文莱达鲁萨兰国孕妇对妊娠高血压疾病的认识和态度：一项全国性研究"。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-24 DOI: 10.1016/j.midw.2024.104116

Sarena Hashim , Debra Griffiths , Christine East

Background

The primary cause of maternal and fetal mortality due to hypertensive disorders in pregnancy is delays in accessing healthcare services. These delays are often attributed to insufficient knowledge, attitudes at the time of diagnosis, and a lack of awareness regarding the condition, including its critical warning signs and symptoms.

Aim

To evaluate pregnant women's initial knowledge and attitudes upon receiving their first diagnosis of hypertensive disorders of pregnancy.

Methods

A cross-sectional quantitative design was used to assess the knowledge and views of 216 expectant mothers on hypertensive disorders of pregnancy (HDP) across three high-risk clinics in Brunei Darussalam. Participants were selected through convenience sampling. Data were collected using a bilingual self-administered questionnaire, adapted from a validated instrument. Descriptive statistics and inferential analyses, including t-tests, One-Way ANOVA, and multiple regression, were conducted using SPSS (Version 23).

Results

Among 216 participants, 69 % demonstrated good knowledge of hypertensive disorders during pregnancy (p < 0.001). Despite positive attitudes towards seeking medical help (p < 0.001), 69 % initially opted for home remedies, and 50 % avoided hospitals unless necessary, leading to delays in healthcare-seeking behaviour. The findings highlight the need for targeted health campaigns to bridge the gap between knowledge and practice, ensuring timely medical intervention for hypertensive disorders during pregnancy.

Conclusion

The study reveals significant knowledge gaps and attitudes contributing to delayed healthcare-seeking behaviours. Targeted health campaigns and culturally sensitive educational programs are essential to improve timely medical interventions and maternal outcomes in Brunei Darussalam.

背景：妊娠期高血压疾病导致孕产妇和胎儿死亡的主要原因是延误就医。目的：评估孕妇在首次确诊妊娠期高血压疾病时的初步知识和态度：在文莱达鲁萨兰国的三家高风险诊所中，采用横断面定量设计评估了 216 名孕妇对妊娠高血压疾病（HDP）的认识和看法。参与者是通过方便抽样的方式选出的。数据收集使用的是一份双语自填问卷，该问卷改编自一份经过验证的工具。使用 SPSS（23 版）进行了描述性统计和推理分析，包括 t 检验、单向方差分析和多元回归：在 216 名参与者中，69% 的人对妊娠期高血压疾病有较好的了解（p < 0.001）。尽管对寻求医疗帮助持积极态度（p < 0.001），但 69% 的人最初选择了家庭疗法，50% 的人在必要时避免去医院，这导致了就医行为的延误。研究结果表明，有必要开展有针对性的健康宣传活动，缩小知识与实践之间的差距，确保对妊娠期高血压疾病进行及时的医疗干预：这项研究揭示了造成就医行为延迟的重要知识差距和态度。在文莱达鲁萨兰国，有针对性的健康运动和文化敏感性教育计划对于改善及时的医疗干预和孕产妇预后至关重要。

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引用次数: 0

Quality of life and social support during pregnancy in Spanish population. A longitudinal study 西班牙人怀孕期间的生活质量和社会支持。一项纵向研究。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-23 DOI: 10.1016/j.midw.2024.104119

Cristian Martín-Vázquez , Jose David Urchaga-Litago , Rubén García-Fernández , Natalia Calvo-Ayuso , Enedina Quiroga-Sánchez , Cristina Liébana-Presa

Background

The quality of life and social support during pregnancy are two variables influencing the health of pregnants and neonates. The documented impact of these variables on mental health, specifically the risk of depression, is notable.

Aim

To investigate the evolution of quality of life and social support at the beginning and end of pregnancy in pregnant women, and to examine the relationship between these variables.

Methods

The proposed longitudinal study includes 188 pregnants from a northern region of Spain. Participants were selected through consecutive sampling from September 2021 to April 2023. Quality of life and social support will be assessed in the first and third trimesters of pregnancy using the SF-36 questionnaire and MOS-SSS questionnaire, respectively.

Findings

The questionnaires show strong internal consistency (α = 0.91 and 0.97). Quality of life changes during pregnancy, declining in the physical component and rising in the mental component towards the end. Primiparous women have higher quality of life. Depression risk is 29.8 % in the 1st trimester, dropping to 22.9 % in the 3rd trimester. Social support decreases in the 3rd trimester, particularly among unmarried women. Significant positive correlations exist between quality of life and social support.

Conclusion

This study emphasizes notable variations in quality of life and social support during pregnancy, impacting the health of pregnant individuals and neonates. Proposing standardization in monitoring these factors during prenatal check-ups aims to improve the physical and mental health of pregnant individuals and newborns.

背景：孕期生活质量和社会支持是影响孕妇和新生儿健康的两个变量。目的：调查孕妇在怀孕初期和末期的生活质量和社会支持的变化情况，并研究这些变量之间的关系：拟议的纵向研究包括来自西班牙北部地区的 188 名孕妇。参与者是在 2021 年 9 月至 2023 年 4 月期间通过连续抽样选出的。将分别使用 SF-36 问卷和 MOS-SSS 问卷在妊娠期的前三个月和后三个月对生活质量和社会支持进行评估：调查结果：这两份问卷显示出很强的内部一致性（α = 0.91 和 0.97）。生活质量在妊娠期间会发生变化，身体部分会下降，而精神部分在妊娠末期会上升。初产妇的生活质量更高。妊娠头三个月的抑郁风险为 29.8%，妊娠三个月时降至 22.9%。社会支持在妊娠三个月时会减少，尤其是未婚妇女。生活质量和社会支持之间存在显著的正相关关系：本研究强调了孕期生活质量和社会支持的显著差异，这对孕妇和新生儿的健康产生了影响。建议在产前检查中对这些因素进行标准化监测，以改善孕妇和新生儿的身心健康。

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引用次数: 0

International news 国际新闻

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-23 DOI: 10.1016/j.midw.2024.104110

引用次数: 0

Relationship between dyadic coping, resilience and fear of childbirth in expectant couples: An actor-partner interdependence model approach 待产夫妇的二元应对、复原力和分娩恐惧之间的关系：行动者-伴侣相互依存模式方法。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-22 DOI: 10.1016/j.midw.2024.104117

Bing Xue , Xin Wang , Jing Tang , Yi-Qi Lai , Dang Ma , Lijiao Luo , Yafei Guan , Sharon R. Redding , Yan-Qiong Ouyang

Background

Fear of childbirth is a common concern in pregnant women and their spouses due to the unpredictability of the process and outcome of a delivery, which results in adverse effects on mental health, birth outcomes and family intimacy. However, there is a lack of studies that explore the influencing factors of fear of childbirth among expectant couples from a dyadic perspective. The aim of this study is to explore the correlation of dyadic coping, resilience and fear of childbirth in pregnant couples and to construct an actor-partner interdependence model to verify dyadic effects.

Methods

This cross-sectional survey included 420 couples and was conducted between November 2022 and March 2023 in the obstetric department at two hospitals in China. Convenience sampling and an actor-partner interdependence model was used.

Findings

The prevalence of fear of childbirth among pregnant women and their spouses is 37.4 % and 33.1 %, respectively. Women's resilience and dyadic coping had a partner effect on spouses’ fear of childbirth, in addition to an actor effect on their own fear of childbirth. Spouses’ resilience and dyadic coping had only actor effects on themselves, and no partner effect was found on the pregnant women.

Conclusion

Women's fear of childbirth was positively associated with spouses’ fear of childbirth. Interventions for fear of childbirth should include improving resilience and enhancing dyadic stress support and coping. This study provides empirical evidence for future clinical research and interventions on the psychological status of pregnant women and their partners during pregnancy.

背景：由于分娩过程和结果的不可预测性，对分娩的恐惧是孕妇及其配偶普遍关注的问题，这导致了对心理健康、分娩结果和家庭亲密关系的不利影响。然而，目前还缺乏从夫妻双方的角度探讨孕妇分娩恐惧影响因素的研究。本研究旨在探讨怀孕夫妇的双向应对、复原力和分娩恐惧的相关性，并构建一个行为者-伴侣相互依赖模型来验证双向效应：这项横断面调查包括420对夫妇，于2022年11月至2023年3月期间在中国两家医院的产科进行。调查采用了方便抽样和行为主体-伴侣相互依赖模型：孕妇及其配偶对分娩恐惧的发生率分别为 37.4% 和 33.1%。妇女的复原力和夫妻双方的应对方式对配偶的分娩恐惧有伴侣效应，此外对其自身的分娩恐惧也有行为者效应。配偶的抗逆力和夫妻应对方式只对其自身有影响，而对孕妇没有影响：结论：妇女对分娩的恐惧与配偶对分娩的恐惧呈正相关。针对分娩恐惧的干预措施应包括提高复原力、加强夫妻间的压力支持和应对。本研究为今后对孕妇及其伴侣在孕期的心理状况进行临床研究和干预提供了经验证据。

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引用次数: 0

Instrument to evaluate the perception of abuse and/or disrespectful treatment during childbirth: A validation study 评估分娩期间受虐待和/或不尊重感的工具：验证研究。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-22 DOI: 10.1016/j.midw.2024.104118

Antonio Hernández-Martínez , Julian Rodríguez-Almagro , Miriam Donate Manzanares , Inmaculada Ortiz Esquinas , Ana Rubio Alvárez , Ana Ballesta Castillejos , Nuria Infante Torres , Silvia García de Mateos , Victoriano Gónzalez Trujillo , Juan Miguel Martínez-Galiano

Aim

To design and validate a tool to assess a woman's perception of whether she has experienced a situation of abuse or disrespect during childbirth attendance: “Childbirth Abuse and Respect Evaluation-Maternal Questionnaire” (CARE-MQ).

Methods

Multidisciplinary panel of experts (gynecologists, midwives, mothers) participated in creating CARE-MQ. A cross-sectional study was carried out on 901 Spanish women who had given birth between 1 and 3 months before to determine psychometric characteristics. Finally, an exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and a convergent validity study were carried out with the Quality Questionnaire from the Patient's Perspective-Intrapartum (QPP-I), and a reliability study using internal consistency (Cronbach's α) and coefficient of intraclass correlation (CCI).

Findings

The KMO test gave a value of 0.935, and Bartlett's sphericity test was <0.001. The EFA identified four components (“Emotional Abuse”, “Inadequate Professionalism”, “Physical Abuse” y “Lost contact”) that explained 55.16 % of variance. In the CFA, a good fit was observed for most of the evaluated indicators. CARE-MQ correlated negatively with QPP-I (Spearman's rho = −0.641, 95 % CI: −0.679, −0.600; p < 0.001) and was statistically associated with variables related to childbirth experience (p < 0.005) such as the use of a birth plan, use of regional analgesia, type of birth, episiotomy, presence of severe tears, skin-to-skin contact, length of hospital stay and postpartum surgical intervention. Cronbach's α value was 0.903. The ICC of absolute agreement after administering the questionnaire one week after was 0.927 (95 % CI: 0.85–0.97).

Conclusions

CARE-MQ is a valid and reliable instrument to evaluate the perception of a woman regarding the situation of abuse and/or disrespect that she may have experienced during birth in a population of Spanish postpartum women.

目的：设计并验证一种工具，用于评估产妇对其在分娩过程中是否遭受虐待或不尊重的感知："方法：由多学科专家（妇科医生、助产士和产妇）组成的小组对产妇进行评估：多学科专家小组（妇科医生、助产士、母亲）参与了 CARE-MQ 的制作。对 901 名分娩前 1 至 3 个月的西班牙产妇进行了横断面研究，以确定心理测量特征。最后，还进行了探索性因子分析（EFA）、确证性因子分析（CFA）以及与产后病人视角质量问卷（QPP-I）的聚合效度研究，并使用内部一致性（Cronbach's α）和类内相关系数（CCI）进行了可靠性研究：结果：KMO 检验值为 0.935，巴特利特球形度检验为结论：在西班牙产后妇女群体中，CARE-MQ 是一种有效且可靠的工具，可用于评估妇女对其在分娩过程中可能遭受的虐待和/或不尊重情况的看法。

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引用次数: 0

Job satisfaction in midwives working in labour ward: A systematic review with meta-analysis 在产房工作的助产士的工作满意度：系统回顾与荟萃分析。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-19 DOI: 10.1016/j.midw.2024.104112

Marta Pérez-Castejón , María Suárez-Cortés , Ismael Jiménez-Ruiz , José Antonio Jiménez-Barbero

Problem

There is little documented evidence of job satisfaction in midwives who work in birthing rooms.

Background

Job satisfaction in midwives who work in birthing rooms may have changed in recent decades due to the medicalization of maternal health.

Aim

To analyse job satisfaction levels among midwives working in birthing rooms.

Methods

We searched Web of Science, SCOPUS, MEDLINE, CUIDEN and CINAHL for observational and mixed method studies. The literature search was carried out from September to October 2022.

Findings

A total of 13 studies were included in the systematic review. A meta-analysis of the variable “midwives’ job satisfaction” was performed on 12 of the studies. Midwives rated their job satisfaction positively: DME, CI (95%) = 1.24 [0.78, 1.69]. Subgroup 1: DME, CI (95%) = 2.41 [2.05, 2.76]); Subgroup 2: DME, CI (95%) = 0.76 [0.65, 0.86]; subgroup 3: DME, CI (95%) = 1.11 [0.95, 1.27]; subgroup 4: DME, CI (95%) = 0.10 [-0.11, 0.31].

Discussion

Although midwives show high levels of satisfaction, the heterogeneity of instruments, lack of specificity and limited number of studies found restrict the outcomes.

Conclusion

There are no specific measurement instruments for assessing job satisfaction among midwives working in labour wards, so it is possible that these data do not correspond to reality as they do not take into account specific professional aspects within this field of practice.

问题：关于在分娩室工作的助产士的工作满意度，几乎没有文献证据：目的：分析在分娩室工作的助产士的工作满意度：我们在 Web of Science、SCOPUS、MEDLINE、CUIDEN 和 CINAHL 中检索了观察性研究和混合方法研究。文献检索时间为 2022 年 9 月至 10 月：共有 13 项研究被纳入系统综述。对其中 12 项研究的变量 "助产士的工作满意度 "进行了荟萃分析。助产士对其工作满意度给予了积极评价：DME, CI (95%) = 1.24 [0.78, 1.69]。子组 1：DME，CI (95%) = 2.41 [2.05, 2.76]）；子组 2：子组 3：DME，CI (95%) = 1.11 [0.95, 1.27]；子组 4：DME，CI (95%) = 0.10 [-0.11, 0.31]：讨论：尽管助产士的满意度很高，但由于工具的异质性、缺乏特异性以及研究数量有限，结果受到限制：结论：目前还没有专门的测量工具来评估在产房工作的助产士的工作满意度，因此这些数据可能与实际情况不符，因为它们没有考虑到这一实践领域的具体专业方面。

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引用次数: 0

The effect of antenatal hypnosis training on pharmacological analgesia use during labour and birth: A systematic review and meta-analysis 产前催眠培训对分娩过程中使用药物镇痛的影响：系统回顾与荟萃分析。

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-19 DOI: 10.1016/j.midw.2024.104113

Ms Yee Kay Lai , Ms Michelle Wong , Lauren Kearney , Nigel Lee

Background

The use of hypnosis as a means of pain management during labour is becoming increasingly popular. While recent reviews have reported on pain perception, relaxation and other psychological benefits the impact of hypnosis on the use of pharmacological analgesia use has not been specifically examined.

Question

For women in labour at term, does antenatal hypnosis instruction compared to no instruction result in decreased use of pharmacological analgesia and influence maternal and infant birth outcomes.

Methods

Databases such as PubMed, CINAHL, Cochrane Central Register of Controlled Trials and Embase were searched with dates ranging from 1947-2024. We included randomised controlled trials (RCTs) that compared antenatal hypnosis training to no hypnosis control groups, published in English and reported on pharmacological analgesia use. The Cochrane's Risk of Bias 2 for RCTs was used to assess design quality. Study selection, quality assessment, data extraction and analysis were undertaken by two independent researchers.

Findings

Six RCTs met the inclusion criteria (n=2937). The use of hypnosis did not result in a significant reduction in the risk of epidural use (RR. 0.79 95% CI 0.39-1.61) or other forms of pharmacological analgesia. Factors such as blinding of care providers to the participants allocated group may have reduced the chances of successful use of hypnosis. Variations in the presentation of hypnosis between studies may also impact on outcomes.

Discussion and Conclusion

This review reports no effect on the use of pharmacological analgesia in women trained in hypnosis antenatally compared with those who were not. Our review does highlight several RCT design characteristics that could impact on the measurement and analysis of the use and efficacy of hypnosis.

背景：在分娩过程中使用催眠作为镇痛手段正变得越来越流行。虽然最近的一些综述报道了催眠对疼痛的感知、放松和其他心理益处，但催眠对药物镇痛使用的影响尚未得到专门研究：问题：对于足月分娩的产妇，产前催眠指导与不进行催眠指导相比，是否会减少药物镇痛的使用，并对母婴分娩结局产生影响：方法：对 PubMed、CINAHL、Cochrane Central Register of Controlled Trials 和 Embase 等数据库进行了检索，检索日期为 1947-2024 年。我们纳入了将产前催眠训练与无催眠对照组进行比较的随机对照试验（RCT），这些试验均以英语发表，并报告了药物镇痛的使用情况。采用 Cochrane 的 RCT 偏倚风险 2 评估设计质量。研究选择、质量评估、数据提取和分析由两名独立研究人员进行：六项研究符合纳入标准（n=2937）。催眠的使用并未显著降低硬膜外麻醉（RR. 0.79 95% CI 0.39-1.61）或其他形式药物镇痛的风险。护理提供者对参与者分配的组别设置盲区等因素可能会降低成功使用催眠的几率。不同研究中催眠方法的不同也可能会影响研究结果：本综述报告显示，与未接受产前催眠培训的妇女相比，接受催眠培训的妇女在使用药物镇痛方面没有受到影响。我们的综述确实强调了可能会对催眠的使用和疗效的测量与分析产生影响的几项 RCT 设计特征。

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引用次数: 0

The story of staying out of normal routine life in adolescent mothers in marginal areas in Urmia through the Lenz of conventional content analysis approach 通过传统内容分析法的伦茨，讲述乌尔米耶边缘地区未成年母亲远离正常常规生活的故事

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-14 DOI: 10.1016/j.midw.2024.104108

Moghaddam-Tabrizi Fatemeh , Najjarzadeh Maryam , Mokhtari Leila

Background

Adolescent pregnancy is a main health concern in relation to adolescent mothers and their neonates especially in deprived areas.

Aim

This study aimed to explore the experiences of adolescent mothers who live in deprived marginal areas in Urmia in Iran.

Methods

This qualitative study was conducted in 2022–2023 using the conventional content analysis approach. Participants were eighteen adolescent mothers purposefully selected from healthcare centers in marginal areas in Urmia. Data were gathered via semi-structured interviews and were analyzed by the conventional content analysis method proposed by Graneheim and Lundman.

Findings

‘‘Staying out of the life normal routine’ was the main theme consisted of four categories ‘forced early marriage', 'experience of abuse', 'learned helplessness', and 'impulses of hope under the shadow of motherhood' and five sub-categories role conflict, lifelong regret, attachment, reviving the lost self-value and the delight of family establishment.

Conclusion

Based on the results of the study health care providers, especially midwives, will be oriented to deal with adolescent mothers to help them to have successful transition to motherhood.

背景少女怀孕是与少女母亲及其新生儿（尤其是贫困地区的新生儿）有关的一个主要健康问题。参与者是从乌尔米耶市边缘地区的医疗保健中心有目的地挑选出的 18 名未成年母亲。通过半结构式访谈收集数据，并采用 Graneheim 和 Lundman 提出的传统内容分析法对数据进行分析。研究结果''远离生活常态'是主主题，包括'被迫早婚'、'虐待经历'、'习得性无助'和'母亲阴影下的希望冲动'四个类别，以及角色冲突、终身遗憾、依恋、重拾失去的自我价值和家庭建立的喜悦五个子类别。结论根据研究结果，医疗保健提供者，尤其是助产士，将以少女母亲为对象，帮助她们成功过渡到母亲角色。

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引用次数: 0

Adherence to physical activity among pregnant women in Southern Italy: results of a cross-sectional survey 意大利南部孕妇坚持体育锻炼的情况：横断面调查结果

IF 2.6 3区医学 Q1 NURSING

Midwifery

Pub Date : 2024-07-10 DOI: 10.1016/j.midw.2024.104102

Laura Sarno , Paola Borrelli , Cristina Mennitti , Alessandro Gentile , Mariella Calvanese , Giuliana Orlandi , Antonio Angelino , Maurizio Guida , Olga Scudiero

Problem

Knowledge about physical activity in pregnancy is limited compared to general population and several approaches have been used to evaluate duration and intensity of physical activity during pregnancy.

Background

Although physical activity can contribute to maternal and fetal well-being, more than half of women stopped their physical activity because of pregnancy.

Aim

To evaluate the adherence to physical activity of low-risk pregnant women by adapting an Italian version of the PPAQ.

Methods

PPAQ was administered to women with singleton uneventful pregnancies between May and December 2022. The intensity of physical activity was calculated using activity's metabolic equivalent (MET).

Findings

Respondents spent 8.5 hours/week during the third trimester in all the types of activities included in the questionnaire, and the majority of METs were spent in household/caregiving activities (91.7 METs-h/week). Only 2,6 % of women reported they spent at least 150 minutes per week in moderate-intensity sport/exercise activity. One-hundred-forty-one women (37.2 %) reported they have been counselled by a midwife or an obstetrician regarding the importance of physical activity in pregnancy and 164 participants (43.3 %) declared that have been advised in favour of bed rest at least once in the current pregnancy.

Discussion

Our results showed that a very small percentage was regularly involved in sport/exercise activities.

Conclusion

The engagement in physical activity of pregnant women during the third trimester is still very low and specific policies to improve exercise in pregnancy should be warrantied.

问题与普通人群相比，人们对孕期体育锻炼的了解十分有限，有几种方法可用于评估孕期体育锻炼的持续时间和强度。背景虽然体育锻炼有助于孕产妇和胎儿的健康，但一半以上的妇女因怀孕而停止了体育锻炼。结果受访者在怀孕三个月期间每周花费 8.5 小时从事问卷中包括的所有类型的活动，大部分代谢当量用于家务/护理活动（91.7 METs-h/week）。只有 2.6% 的妇女表示她们每周至少进行 150 分钟中等强度的体育/锻炼活动。讨论我们的研究结果表明，经常参加体育/锻炼活动的孕妇比例很小。结论怀孕三个月的孕妇参加体育锻炼的比例仍然很低，应制定具体政策来改善孕期锻炼。

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