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Pregnancy and Women’s Health Care International Journal最新文献

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Awareness and Acceptance of Primary HPV Testing by Clinician vs Self-Sampling Among Cervical Cancer Screening-Eligible Women 符合宫颈癌筛查条件的妇女中临床医生对原发性HPV检测的认识和接受程度与自我抽样
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3836
K. MacLaughlin, G. Jenkins, J. Sauver, Amanda Meyer, Robert M. Jacobson, L. Rutten
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引用次数: 0
(In)Equities in the Prevalence and Rates of Mammography Orders in Low-IncomeLatina Patients across 21US States from 2012-2020 (6) 2012-2020年美国21个州低收入拉丁患者乳房x光检查的患病率和比率的公平性
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3484
Tahlia L. Hodes, J. Heintzman
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引用次数: 0
Beyond Inadequate Prenatal Care Utilisation in French Guiana: Role of Education, Isolation and Pregnancy Experiences 法属圭亚那产前护理利用不足:教育、隔离和怀孕经历的作用
Pub Date : 2023-01-01 DOI: 10.53902/pwhcij.2023.03.000515
Simmat Durand Laurence
Introduction: The link between women’s educational level and their adequate use of prenatal care is documented as well as the link between inadequate prenatal care and adverse birth effects, such as prematurity, that have consequences for the future health of children. Methods: A questionnaire study was carried out among a sample of women having delivered in the three maternity wards of French Guiana during 2017-2018. The questionnaire was available in various languages and native-speaking interviewers helped the women answer. The women were asked about their educational level, nationality, maternal language, social conditions of life, histories of pregnancies and deliveries, how they felt during their last pregnancies and their uses of psychoactive substances. Results: Among the 809 women who answered the questionnaire, 785 gave birth to singletons and were included in this study. The educational levels of the mothers were significantly linked, along a gradient, to their uses of prenatal care, their number of previous pregnancies and also their maternal language. An inadequate level of prenatal care utilisation was declared by 60% of the women who did not attend school versus 21% of those having a Baccalaureate or higher. Controlling for education level, residence, nationality and income, poor pregnancy monitoring was 3.5 times more frequent for women with no education. Conclusion: In French Guiana, education level is a key variable for explaining the low level of prenatal care utilisation and its consequent influence on adverse health events such as prematurity or miscarriage.
导言:文献记载了妇女的教育水平与其充分利用产前护理之间的联系,以及产前护理不足与早产等不利生育影响之间的联系,这些影响对儿童未来的健康有影响。方法:对2017-2018年法属圭亚那三个产科病房分娩的妇女进行问卷调查。问卷有多种语言版本,母语为英语的采访者会帮助这些女性回答问题。这些妇女被问及她们的教育程度、国籍、母亲的语言、社会生活条件、怀孕和分娩的历史、她们在最后一次怀孕期间的感受以及她们使用精神活性物质的情况。结果:在809名接受问卷调查的女性中,785名生育了独生子女,并被纳入本研究。母亲的教育水平与她们使用产前护理、以前怀孕的次数以及她们的母语有显著的梯度关系。60%未上过学的妇女声称产前护理利用水平不足,而拥有学士学位或更高学历的妇女则为21%。控制受教育程度、居住地、国籍和收入等因素,未受教育妇女妊娠监测不良的发生率是未受教育妇女妊娠监测不良发生率的3.5倍。结论:在法属圭亚那,教育水平是解释产前护理使用率低及其对早产或流产等不良健康事件的影响的关键变量。
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引用次数: 0
Delivering Rural Obstetric Training for Family Medicine Residents 为家庭医学居民提供农村产科培训
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.4136
Erin Fredrickson
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引用次数: 0
Recreating the Village: The Patient Experience with Group Perinatal Care 再造村庄:集体围产期护理的患者体验
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3473
A. Biringer, Natalie Morson, S. Walji, T. Makuwaza, Susannah C. Merritt, Natalie Tregaskiss, Milena Forte
Context: Group perinatal care (GPC) offers a “one stop” approach to clinical care and perinatal education. It has been shown to be associated with high levels of patient satisfaction and improved clinical outcomes. Co-facilitation of GPC (including postpartum care) by midwives (MW) and family medicine residents (FMR) in a family health team (FHT) has not been previously assessed. Objective: To explore the experience of participants in the academic FHT model of GPC. Study design: Descriptive qualitative study using semi-structured telephone interviews with participants who had completed GPC. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted by team members. Setting: Academic family health team (FHT), Toronto, Canada. Participants: 18 patients who had participated in GPC at the Mount Sinai Academic FHT who delivered between November 7, 2016 and October 26, 2018. Findings: The major theme was the value of the relationships established and the positive consequences of those relationships. Participants describe relationships with health care providers that were built on comprehensiveness, continuity and credibility. Relationships with other GPC participants were facilitated but also developed organically, continued outside the structure of GPC and persisted well beyond perinatal care. The consequences of these relationships included creating support networks, shared knowledge and experience with their partners, improved self-confidence during the pregnancy and labour journey, decreased anxiety and extended commitment to breastfeeding. Conclusions: Participants in GPC at the Mount Sinai Academic FHT, in essence, became part of a social network for their labour, birth and early parenting journey by developing relationships with their healthcare providers, partners and fellow participants through the group process. This resulted in informational and emotional support which positively affected their experience. In
背景:团体围产期护理(GPC)提供了一个“一站式”的方法,临床护理和围产期教育。它已被证明与高水平的患者满意度和改善的临床结果有关。助产士(MW)和家庭医学住院医师(FMR)在家庭保健小组(FHT)中共同促进GPC(包括产后护理)的工作以前没有进行过评估。目的:探讨GPC学术FHT模型的参与者体验。研究设计:采用半结构化电话访谈对完成GPC的参与者进行描述性定性研究。采访录音并逐字抄写。小组成员进行专题分析。工作地点:加拿大多伦多学术家庭健康小组。参与者:在2016年11月7日至2018年10月26日期间在西奈山学术FHT参加GPC的18例患者。研究发现:主要的主题是建立关系的价值和这些关系的积极后果。参与者描述了与保健提供者建立在全面性、连续性和可信性基础上的关系。与其他GPC参与者的关系得到促进,但也有机地发展,继续在GPC结构之外,并持续远远超出围产期护理。这些关系的结果包括建立支持网络,与伴侣分享知识和经验,在怀孕和分娩过程中提高自信,减少焦虑,延长对母乳喂养的承诺。结论:在西奈山学术FHT的GPC参与者,本质上,通过与他们的医疗保健提供者、合作伙伴和其他参与者在小组过程中发展关系,成为他们分娩、分娩和早期育儿旅程的社会网络的一部分。这导致了信息和情感上的支持,对他们的经历产生了积极的影响。在
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引用次数: 0
Beliefs and Practices of Contraceptive Usage among Undocumented Latina Women in Central Ohio 俄亥俄州中部无证拉丁裔妇女避孕措施使用的信仰和实践
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.4137
Melissa Thomas, Esperanza Igram
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引用次数: 0
Family Medicine Presence on Labor and Delivery: Impact on Quality and Safety 家庭医学在分娩中的存在:对质量和安全的影响
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3976
E. W. Vangompel, S. Radke, Lavisha Singh, Francesca Carlock
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引用次数: 0
The Contribution of Family Physicians in Providing Obstetric Care in Maternity Care Deserts 家庭医生在产科护理沙漠中提供产科护理的贡献
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3577
M. Topmiller, Y. Jabbarpour, Grace Walter
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引用次数: 0
Assessment of Obstetric Outcomes for New Mainers 新生儿产科结局评估
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.4109
Brendan Prast
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引用次数: 0
Modifiable Preconception Care Indicators and Their Association with Pregnancy Outcomes: A Case Control Study 可修改的孕前护理指标及其与妊娠结局的关系:一项病例对照研究
Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3629
Ashwini Kamath Mulki, E. Banerjee, Melanie B. Johnson, K. Jabbour, B. Careyva, K. Nesbitt
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引用次数: 0
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