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Factors Affecting Pregnant Women’s Delivery Mode Preferences 影响孕妇分娩方式偏好的因素
Pub Date : 2024-07-01 DOI: 10.55975/pytf6362
T. Esencan, Nisa Sul, Betül Çetinkaya, Dilara Başdinç,, Edanur Manav,, Esma Aydin
Among the most important physiological events in a woman’s life are pregnancy and childbirth. Women and parents experience a range of feelings and thoughts which affect their decision-making. Pregnant women may experience intense anxiety and worry in addition to the significant social and emotional repercussions of childbirth and the adjustment to parenthood. This study explores women’s confidence and decision-making in Turkey.
怀孕和分娩是妇女一生中最重要的生理事件。妇女和父母都会经历一系列影响其决策的感受和想法。怀孕妇女可能会经历强烈的焦虑和担忧,此外,分娩和为人父母的适应也会对社会和情感产生重大影响。本研究探讨了土耳其妇女的信心和决策问题。
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引用次数: 0
Group Care: First 1000 Days 集体护理:最初的 1000 天
Pub Date : 2024-07-01 DOI: 10.55975/dtuw8534
Deborah Billings, Eline Vlasblom, A. Hindori-Mohangoo, Jedidia Abanga
Group care (GC) during pregnancy and early parenthood improves outcomes, including satisfaction with care, both for healthcare providers (group facilitators) and clients (group participants). Global evidence for the impact of GC is growing. Implementation, however, is generally small-scale and not scaled-up. The GC for the First 1000 Days project (GC_1000) aimed to bridge this gap by implementing antenatal and postnatal GC in health systems in seven countries around the world and systematising lessons learned. Tools are available to integrate GC into health care systems.
孕期和初为人父人母期间的集体护理(GC)可改善医疗保健提供者(集体护理促进者)和客户(集体护理参与者)的治疗效果,包括对护理的满意度。全球范围内有关集体护理影响的证据越来越多。然而,其实施通常规模较小,没有扩大规模。最初 1000 天的全科治疗项目(GC_1000)旨在通过在全球七个国家的医疗系统中实施产前和产后全科治疗并系统总结经验教训来弥补这一差距。可利用各种工具将产前和产后保健纳入保健系统。
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引用次数: 0
Essential Skills for Facilitating Group Care 促进集体护理的基本技能
Pub Date : 2024-07-01 DOI: 10.55975/khjc8022
Octavia Wiseman, Jalana Lazar, Jedidia Abanga, Margie Rickell
Facilitating group care successfully necessitates learning a range of essential skills including managing group dynamics, active listening, facilitating participant-led discussions and interactive activities. Developing these skills requires training, practice, confidence and a good dose of humility. Unlearning the role of midwife as expert is necessary to flatten hierarchy and draw out the expertise of the women/birthing people in order to enhance participants’ learning. This can feel challenging and anti-intuitive for midwives trained and practising in didactic systems. In this article we explore how developing the inter-personal skills required for group care facilitation can enhance the role of the midwife.
要成功地开展小组保健,就必须学习一系列基本技能,包括管理小组动态、积极倾听、促进由参与者主导的讨论和互动活动。培养这些技能需要培训、实践、自信和谦逊。有必要摆脱助产士作为专家的角色,使等级制度扁平化,发挥妇女/分娩者的专长,以促进参与者的学习。对于在说教式系统中接受培训和实践的助产士来说,这可能具有挑战性和反直觉性。在本文中,我们将探讨如何发展团体护理促进所需的人际交往技能,以增强助产士的作用。
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引用次数: 0
Group Care: Pregnancy, Postnatal and Beyond 集体护理:孕期、产后及以后
Pub Date : 2024-07-01 DOI: 10.55975/pgvc8709
Amy Creaser, Christine McCourt, Alice Kininmonth, Linda McGowan
Centering-based group antenatal care (gANC) has been shown to be of value during pregnancy. But what about the postnatal period and beyond? In this article we discuss approaches to applying group care beyond pregnancy and immediate post birth to families with children in their early years.
以中心为基础的集体产前护理(gANC)已被证明在孕期具有价值。但是,产后及以后呢?在这篇文章中,我们将讨论如何将团体护理应用到怀孕期和产后初期之后有孩子的家庭中。
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引用次数: 0
The Power of Relationships in Group Care 集体护理中关系的力量
Pub Date : 2024-07-01 DOI: 10.55975/fvoh5209
Anna Horn, Jalana Lazar
In this interview, group care researchers Jalana Lazar and Anna Horn discuss the lived experiences of group care, from the perspectives of those providing and receiving group care. Informed by their fieldwork, they unpick the web of relationships amongst women, midwives and other health care professionals. Together, they consider a key group care feature – relationship building – exploring the model’s potential to bridge interdisciplinary relationships and apply relational maternity care.
在这次访谈中,团体护理研究人员贾拉娜-拉扎尔(Jalana Lazar)和安娜-霍恩(Anna Horn)从团体护理的提供者和接受者的角度,讨论了团体护理的生活体验。通过实地调查,她们揭示了妇女、助产士和其他医护人员之间的关系网。她们共同探讨了集体护理的一个关键特征--关系建立--探索该模式在弥合跨学科关系和应用关系型孕产妇护理方面的潜力。
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引用次数: 0
The Group Antenatal and Postnatal Model: A Description 集体产前产后模式:说明
Pub Date : 2024-07-01 DOI: 10.55975/lrpx8448
Sharon Schindler Rising, Katja van Groesen
Centering-based group care brings together a cohort of eight to 12 pregnant people with similar gestation early in pregnancy for care during eight to ten sessions throughout pregnancy and early postpartum. The group sessions may continue until the second year postpartum for care for both the birthing parent and the baby. Successfully putting the group care model into practice is based on group facilitation rather than didactic, class-like presentations. Basic antenatal clinical care is provided individually during the group sessions, making it reimbursable within the setting’s payor system.
以居中为基础的小组护理将 8 至 12 名妊娠期相似的孕妇聚集在一起,在整个孕期和产后早期的 8 至 10 次课程中提供护理。小组护理可能会持续到产后第二年,为分娩的父母和婴儿提供护理。将小组护理模式成功付诸实践的基础是小组协助,而不是类似课堂的说教。基本的产前临床护理是在小组会议期间单独提供的,因此可在医疗机构的支付系统内报销。
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引用次数: 0
Implementing Group Antenatal Care: The Global Experience 实施集体产前护理:全球经验
Pub Date : 2024-07-01 DOI: 10.55975/xpfv6441
S. Suhowatsky, Brenda N Onguti, Veronica AE Apetorgbor, Esnath Kapito
There are over 100 million pregnancies in low and middle income countries (LMICs) each year, and each pregnant person has a right to high-quality antenatal care (ANC).1 Coverage of four or more ANC contacts is only 68%, far short of the global target of 90% by 2030.2 Underutilisation of ANC limits opportunities to improve outcomes. Group care is considered a promising strategy to change this. It is estimated that over 500,000 stillbirths and more than five million small and vulnerable newborn births in LMICs could be prevented each year by high coverage of eight preventive interventions during ANC.3
在中低收入国家(LMICs),每年有超过 1 亿名孕妇,每位孕妇都有权获得高质量的产前保健(ANC)1。产前保健四次或四次以上接触的覆盖率仅为 68%,远低于到 2030 年达到 90% 的全球目标2。集体护理被认为是改变这种状况的一项有前途的战略。据估计,在低收入和中等收入国家,如果产前护理期间八项预防性干预措施的覆盖率较高,则每年可避免 50 多万死产和 500 多万弱小新生儿的出生。
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引用次数: 0
Pregnancy Anaemia: Improving Treatment Success with Oral Iron 妊娠贫血:提高口服铁剂的治疗成功率
Pub Date : 2024-07-01 DOI: 10.55975/tbwc1936
Jennifer Pountain
The physiological adaptation of pregnancy brings complex haematological changes. To meet feto-placental requirements, blood plasma volume increases by 30 to 50%.1 This results in haemodilution, as red blood cell mass rises by 15 to 18%. However, those who take regular iron supplements, red blood cell production increases to 25 to 33%.1 The continuum of iron insufficiency ranges from iron depletion to iron deficiency anaemia (IDA).2 Anaemia in pregnancy is defined as a haemoglobin less than 110g/l in the first trimester, and less than 105g/l in the second and third trimester.2
怀孕的生理适应带来了复杂的血液学变化。为了满足胎儿和胎盘的需要,血浆容量增加了 30%至 50%。1 这导致血液稀释,红细胞质量增加了 15%至 18%。1 这导致血液稀释,因为红细胞质量增加了 15%至 18%。然而,定期服用铁补充剂的孕妇,红细胞生成量会增加到 25%至 33%。2 妊娠期贫血的定义是:妊娠头三个月血红蛋白低于 110 克/升,妊娠第二和第三季度低于 105 克/升。
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引用次数: 0
Centering You! 以你为中心
Pub Date : 2024-07-01 DOI: 10.55975/vkci8385
Iola Hughes
It’s uncomfortable and sometimes painful to know where midwives and student midwives sit between the societal assumption (It must be the most wonderful job in the world!) and the villainous status assigned when things don’t go well or when expectations aren’t met.1 How do we care for ourselves and each other in this complexed and potentially damaging landscape?
要知道助产士和助产士学生在社会假设(这一定是世界上最美好的工作!)和事情不顺利或期望落空时被赋予的恶棍身份之间的位置,有时会感到不舒服和痛苦。
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引用次数: 0
Implementing Group Care 实施集体护理
Pub Date : 2024-07-01 DOI: 10.55975/gllp9867
Astrid Van Damme, Vlorian Molliqaj, K. Beeckman, Marsha Orgill, Octavia Wiseman
Centering-based group antenatal and postnatal care (gAPNC) can improve quality of care. Implementation benefi ts from enthusiasts and careful planning. A steering committee to oversee planning, implementation and evaluation keeps the fi re alive and can provide support for the whole implementation team. gAPNC can be adapted to the local needs to fit as best as possible with the implementing organisation and its population. Sustainability requires ongoing training and support for practitioners. This article provides insights, tips and tricks for those that are wishing to implement gAPNC.
以中心为基础的产前产后集体护理(gAPNC)可以提高护理质量。实施工作得益于热心人和精心的规划。指导委员会负责监督规划、实施和评估,可保持项目的活力,并为整个实施团队提供支持。gAPNC 可根据当地需求进行调整,以尽可能适合实施机构及其人口。可持续发展需要对执行人员进行持续培训和支持。本文为希望实施 gAPNC 的人员提供了见解、技巧和窍门。
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引用次数: 0
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The Practising Midwife
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