Sexual & Reproductive Healthcare最新文献_第10页

The prevalence and effect of traumatic childbirth witnessed by midwifery students: A quantitative study 助产学学生创伤性分娩的发生率及影响：一项定量研究

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-11 DOI: 10.1016/j.srhc.2025.101099

Roa Altaweli , Shooq Zaid Alotaibi , Ghayda Dokhi Aldokhi , Shahad Mohammed Alotaibi , Rawan Mohammed Megari , Nora Mahroos Alobthani , Danah Hamed Alanazi

Problem

Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.

Background

The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.

Aim

This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.

Methods

An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.

Findings

A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).

Discussion

The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.

Conclusion

This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.

问题：在分娩过程中经历创伤性事件会导致助产士专业的本科生将分娩视为创伤性事件，并对分娩产生恐惧。这可能会妨碍他们在分娩期间为妇女提供专业护理和支持的能力。创伤可能会影响他们的教育，未来的职业生涯和照顾能力，可能导致他们考虑退出该项目。目的本研究旨在了解沙特阿拉伯利雅得一所政府学术机构的助产学本科生在临床实习期间所目睹的创伤性分娩的患病率和影响。方法采用封闭式问题在线描述性横断面调查。研究样本包括二年级、三年级和四年级的助产士学生，他们至少参加过一次分娩会议（n = 255）。参与者被确定使用非概率方便抽样技术。排除了一年级学生或未开始临床实践的学生。调查结果共有149名受访者完成调查，回应率为96.8%。在助产学本科学生中，77.2%的人报告在临床培训期间目睹了创伤性分娩，许多人认为这些经历有些创伤（48.3%）或高度创伤（28.9%）。讨论调查结果表明，这些经历显著影响心理和情绪健康，以及未来的生育偏好。尽管存在这些挑战，助产学研究的满意度仍然是积极的。结论本研究确定了相当比例的助产专业学生经历过创伤性分娩，这影响了他们未来的怀孕和分娩计划、心理和情感健康以及职业生涯。

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引用次数: 0

A Kazakhstan perspective on “The vital role of birth centers in modern maternity care” 哈萨克斯坦对“生育中心在现代产妇护理中的重要作用”的看法

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-11 DOI: 10.1016/j.srhc.2025.101097

Ayat Assemov, Assel Khassenova

引用次数: 0

“Being at home instead of going to the hospital is Great” − how partners experience telemonitoring of the fetal heart rate during pregnancy – A qualitative interview study “待在家里比去医院更好”——伴侣在怀孕期间如何体验胎儿心率的远程监控——一项定性访谈研究

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-11 DOI: 10.1016/j.srhc.2025.101098

Ingrid Jepsen , Jane H. Nielsen , Stine A. Eriksen , Rikke D. Maimburg

Introduction

Remote monitoring of health, also called telemonitoring, is increasingly used in maternity care. Women with complicated pregnancies are asked to monitor themselves and the fetus at home. Quantitative research indicates that telemonitoring is safe and acceptable for women, but knowledge about the partner’s role and experience of remote telemonitoring is sparse. As the partner’s role in family formation is essential, midwives need to know more about the partner’s perspective.

Aim

To explore how partners experience telemonitoring.

Methods

A qualitative interview study comprising 14 partners of women with complicated pregnancies.

Results

We created five themes: 1) Fundamental trust in the healthcare system, 2) The partner’s role, 3) Time and timing matters, 4) Usability of the technology, and 5) Being at home is great.

Discussion

The Partners experienced telemonitoring as timesaving and cost-effective. However, the partners still experienced barriers to taking time off from work; thus, some did not participate in telemonitoring at home despite their wish to attend.

Conclusion

The partners experienced both benefits and challenges with telemonitoring and found the benefits to outweigh the challenges. The partners appreciated that the pregnant woman was monitored at home, which was both time-saving and cost-effective. It saved time because the pregnant woman could stay at home, and it was cost-effective because telemonitoring allowed the partners to support their spouse without taking a day off work. Transportation and parking expenses were saved. Telemonitoring challenges included technical issues, registration deadlines, feedback timing, and managing siblings during telemonitoring.

Trial registration

UCN (J. No 219623 in the Electronic Document Management System at UCN)

健康远程监测，也称为远程监测，越来越多地用于产妇保健。妊娠复杂的妇女被要求在家监测自己和胎儿。定量研究表明，远程监控对女性来说是安全且可接受的，但对伴侣的角色和远程远程监控经验的了解很少。由于伴侣在家庭形成中的作用至关重要，助产士需要更多地了解伴侣的观点。目的探索合作伙伴如何体验远程监控。方法对14例复杂妊娠妇女的伴侣进行定性访谈研究。结果我们创建了五个主题：1)对医疗系统的基本信任，2)合作伙伴的角色，3)时间和时机问题，4)技术的可用性，5)在家很棒。合作伙伴认为远程监控节省时间和成本效益。然而，这对伴侣仍然遇到了从工作中请假的障碍；因此，尽管有些人希望参加远程监控，但他们没有参加。结论合作伙伴体验到远程监护的好处和挑战，并发现好处大于挑战。合作伙伴赞赏在家中对孕妇进行监测，这既节省时间又具有成本效益。它节省了时间，因为孕妇可以呆在家里，而且它具有成本效益，因为远程监控允许伴侣在不休假的情况下支持他们的配偶。节省了交通和停车费用。远程监控的挑战包括技术问题、注册截止日期、反馈时间和远程监控期间的兄弟姐妹管理。试注册UCN （UCN电子文件管理系统第219623号）

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引用次数: 0

Exploring feminism in midwifery and maternity research: A scoping review 探索女性主义在助产学和产科研究中的作用：范围综述

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-08 DOI: 10.1016/j.srhc.2025.101096

Mirjam C.E. Peters , Marie L. Froehlich , Laura A. Zinsser

Background

The intersection of midwifery, maternity care, and feminist theory remains underexplored, particularly regarding its prevalence, contexts, and potential benefits for midwifery science.

Feminist perspectives address sociocultural, economic and political factors at both individual and structural levels. In health care, these factors significantly influence women’s health. Feminist perspectives offer approaches to better understand gendered experiences, address systemic inequalities, and gain deeper insights into sociocultural, economic and political dynamics.

Aim

The aim is to show how feminist perspectives are incorporated into midwifery research and how they are used.

Methods

A PRISMA-ScR-guided scoping review was conducted with systematic searches in Medline, MIDIRS, CINAHL, and SocINDEX, in December 2023. Studies over the last decade in English and German with the keyword “feminism” in midwifery and maternity care were included. Data were extracted and summarized descriptively. Patterns and underlying discourses were identified through iterative process to identify underlying themes.

Findings

From 1,523 records, 246 studies were included. These studies utilized feminist frameworks such as intersectional feminism, post-structural feminism, and feminist critical theory. Many studies focused on marginalized groups. Themes addressed included the experiences of women and families, healthcare needs, societal norms, ethical considerations, information and decision-making, and the role of technology.

Discussion

Feminist perspectives emphasize and contextualize the needs of women and marginalized groups, highlighting societal influences on health while providing approaches to analyse gender dynamics, power relations, and systemic inequalities.

Conclusion

This study highlights the potential for integrating feminist perspectives into midwifery science to develop more nuanced and equitable approaches to maternity care.

助产学、产科护理和女权主义理论的交叉研究仍未得到充分探讨，特别是关于其流行程度、背景和对助产学的潜在益处。女性主义观点从个人和结构两个层面探讨社会文化、经济和政治因素。在保健方面，这些因素严重影响妇女的健康。女权主义视角提供了更好地理解性别经验、解决系统性不平等的方法，并对社会文化、经济和政治动态有了更深入的了解。目的目的是展示如何将女权主义观点纳入助产学研究以及如何使用这些观点。方法于2023年12月在Medline、MIDIRS、CINAHL和SocINDEX中系统检索prisma - scr引导的范围评价。在过去十年中，以“女权主义”为关键词的英语和德语研究包括了助产和产科护理。对数据进行提取和描述性总结。模式和潜在的话语通过迭代过程来确定潜在的主题。研究结果从1523项记录中，包括246项研究。这些研究运用了交叉女性主义、后结构女性主义和女性主义批判理论等女性主义框架。许多研究集中在边缘群体。讨论的主题包括妇女和家庭的经验、保健需求、社会规范、伦理考虑、信息和决策以及技术的作用。女权主义观点强调妇女和边缘群体的需求，强调社会对健康的影响，同时提供分析性别动态、权力关系和系统性不平等的方法。本研究强调了将女权主义观点纳入助产科学的潜力，以开发更细致和公平的产妇护理方法。

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引用次数: 0

Labour ward midwives’ experiences of remote video calls with women during early labour 产房助产士在分娩早期与妇女进行远程视频通话的经验

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-08 DOI: 10.1016/j.srhc.2025.101095

Viola Nyman , Ann Svensson , Malin Hansson , Anette Johnsson

Background

The shortage of midwives makes it difficult to meet healthcare needs in early labour, a phase when professional support and personal evaluation are crucial. Digitalisation has transformed healthcare, offering new communication and support methods. Although still uncommon, the use of a virtual waiting room with video calls by midwives during early labour could provide vital support for pregnant women and their partners. This study aimed to describe labour ward midwives’ experiences of remote video calls with women during early labour.

Methods

A qualitative descriptive study with seven semi-structured interviews followed by a qualitative content analysis was conducted.

Results

The findings revealed that remote video calls enabled the midwives to work flexibly with chosen working hours and become involved in a challenging new e-function. They interacted with the women and their partners and experienced that they created a supportive relationship and simultaneously gained an overview of the situation. They felt secure in their professional role when providing the necessary care and had confidence in their competence.

Conclusion

The potential benefits of integrating remote video calls into midwives’ tasks during early labour care include flexible working hours and fostering supportive relationships with women and their partners at home.

助产士的短缺使得很难满足早期分娩的保健需求，在这个阶段，专业支持和个人评估至关重要。数字化已经改变了医疗保健，提供了新的沟通和支持方法。尽管还不常见，但助产士在分娩早期使用带有视频通话的虚拟等候室可以为孕妇及其伴侣提供至关重要的支持。本研究旨在描述产房助产士在分娩早期与妇女进行远程视频通话的经验。方法采用7次半结构化访谈进行定性描述性研究，并进行定性内容分析。结果远程视频通话使助产士能够灵活地选择工作时间，并参与具有挑战性的新电子功能。他们与女性和她们的伴侣互动，体验到他们建立了一种相互支持的关系，同时获得了对情况的概述。在提供必要的护理时，他们对自己的专业角色感到安全，并对自己的能力充满信心。将远程视频通话纳入助产士早期分娩护理工作的潜在好处包括灵活的工作时间和促进与妇女及其家庭伴侣的支持关系。

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引用次数: 0

Veganism during pregnancy: Exploring experiences and needs of women following a plant-based diet 怀孕期间的素食主义：探索女性遵循植物性饮食的经历和需求

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-06 DOI: 10.1016/j.srhc.2025.101094

Maryse C. Cnossen , Elke Tichelman , Vera Bostelaar , Suzanne van Dijk , Claire Hendrickx , Leonie Welling

Objective

The prevalence of pregnant women adhering to a vegan or strict plant-based diet is increasing. Despite a growing interest in veganism in pregnancy, there is a paucity of research exploring the experiences and needs of women who decided to continue the vegan diet during pregnancy. This qualitative study aims to explore the experiences and needs of pregnant women adhering to a vegan diet.

Methods

We conducted fifteen semi-structured interviews among pregnant women and among women within the first twelve months postpartum who self-identified as vegan.

Results

Thematic analysis revealed five core themes: (1) confidence and pride, (2) stigmatization, (3) barriers, (4) knowledge, and (5) support and acceptance. Although pregnant vegans often exhibit feelings of confidence and pride in their dietary choices, they also face challenges due to social stigma, misconceptions, cravings and nausea. Participants expressed that it was difficult to find reliable information regarding nutritional requirements and supplementation during pregnancy, and that healthcare providers lacked adequate knowledge. The level of support received from healthcare professionals and their surrounding varied but is deemed significant, underscoring the importance of a non-judgmental, accepting and supportive approach.

Conclusions

This study highlighted the confidence and pride pregnant vegans may experience, but also the challenges they face due to social stigma, misconceptions, cravings and nausea, and the need for better information and support. By addressing these challenges, healthcare professionals and communities can contribute to healthier and more informed vegan pregnancies, ultimately benefiting the well-being and health of both mothers and their infants.

孕妇坚持纯素或严格的植物性饮食的流行程度正在增加。尽管人们对怀孕期间的素食主义越来越感兴趣，但关于怀孕期间决定继续素食的女性的经历和需求的研究却很少。本定性研究旨在探讨孕妇坚持纯素饮食的经验和需求。方法：我们在孕妇和产后12个月内自称为素食主义者的妇女中进行了15次半结构化访谈。结果主题分析揭示了五个核心主题：(1)自信与骄傲，(2)污名化，(3)障碍，(4)知识，(5)支持与接受。虽然怀孕的纯素食者经常对自己的饮食选择表现出自信和自豪，但她们也面临着社会耻辱、误解、渴望和恶心带来的挑战。与会者表示，很难找到关于怀孕期间营养需求和补充的可靠信息，而且保健提供者缺乏足够的知识。从医疗保健专业人员及其周围获得的支持水平各不相同，但被认为是重要的，强调了不判断、接受和支持方法的重要性。这项研究强调了怀孕的素食者可能会经历的自信和骄傲，但也强调了她们面临的挑战，包括社会耻辱、误解、渴望和恶心，以及对更好的信息和支持的需求。通过解决这些挑战，医疗保健专业人员和社区可以为更健康和更知情的素食怀孕做出贡献，最终使母亲和婴儿的福祉和健康受益。

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引用次数: 0

Utilisation of childbirth education techniques: How does the concept of ‘differentiation of self’ impact this? 使用分娩教育技术：“自我分化”的概念如何影响这一点？

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-04-05 DOI: 10.1016/j.srhc.2025.101093

Kerry Sutcliffe , Elizabeth Newnham , Hannah Dahlen , Linda Mackay , Kate Levett

Objective

The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘differentiation of self’ (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.

Methods

Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.

Results

Thematic analysis identified pressure points during childbirth, to which women responded through promoters of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or preventers (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As pressure points intensified, it became increasingly difficult to utilise techniques. The overarching theme, up to a point, describes the use of CBE and the interaction between level of DoS and stressors faced.

Conclusion

Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies up to a point, but with sufficient challenges, continued use becomes increasingly difficult.

目的分娩教育（CBE）技术在分娩过程中的应用尚不清楚。我们考虑了“自我分化”（DoS），一个鲍文理论概念，描述了一个人根据目标和原则行事的能力，即使在经历生理、情感和关系压力源的情况下，是否会影响这一点。目的是探讨妇女对使用支持生理性分娩的非药物CBE策略的看法，以及DoS是否影响使用。方法：采用半结构化访谈法，对参加澳大利亚CBE综合项目RCT的不同程度DoS报告的参与者进行访谈。结果：专题分析确定了分娩过程中的压力点，女性通过CBE促进者（“相信自己”、“寻求他人的支持”、“我把它找回来了”）或预防者（“阻碍问题使我出轨”、“与我的对话不完整”、“我迷失了方向”）来回应这些压力点。随着压力点的增加，利用技术变得越来越困难。总体主题，在某种程度上，描述了CBE的使用以及DoS水平与所面临的压力源之间的相互作用。结论妇女使用CBE技术的程度不同，这受到现有支持和生育文化和实践相关压力因素的影响。这对支持生理性分娩具有实践意义。CBE技术的应用是由妇女所遇到的压力所调节的。DoS表明CBE策略在一定程度上得到了推广，但由于面临足够的挑战，继续使用变得越来越困难。

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引用次数: 0

Do Indonesian midwifery-led birth units provide safe, accessible care? A secondary analysis of demographic health survey cross-sectional data 印尼助产单位提供安全、方便的护理吗？人口健康调查横断面数据的二次分析

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-03-27 DOI: 10.1016/j.srhc.2025.101089

Kai Hodgkin , Grace Joshy , Kamalini Lokuge

Objective

In high-income countries, attended birth at home and in midwifery-led birth units is safe for low-risk women who have access to hospital transfer. These circumstances are untested in Indonesia and other low- and middle-income countries, where mortality remains unacceptably high, and studies analysing birth settings do not account for pregnancy risk. This study aimed to quantify first day neonatal mortality in Indonesia across different birth settings, adjusting for pregnancy risk and other confounding factors, and summarise barriers to accessing health care.

Methods

Using self-reported data from women aged 15–49 years participating in the 2007, 2012 and 2017 Indonesian Demographic Health Surveys (n = 45,953), adjusted odds ratios (aOR) of first-day neonatal mortality were estimated using logistic regression. Barriers reported by women in accessing health care are summarised.

Results

First-day neonatal death occurred in 3.45 per 1000 live births. Rates were higher for: births with pregnancy risk (7.35/1000 vs 2.31/1000 no risk; aOR = 3.17, 95 %CI 2.29–4.38); home births with and without health professionals present (5.03/1000, aOR = 2.26, 95 %CI 1.19–4.29 and 5.11/1000, aOR = 2.50, 95 %CI 1.26–4.96 respectively) vs midwife-led birth unit. Women who birthed in hospital and midwifery-led birth units reported fewer barriers to accessing healthcare; those who gave birth at home without a health professional reported the most.

Conclusion

Pregnancy risk and barriers to health care access are key elements associated with neonatal mortality. Interventions should target women who face barriers to accessing healthcare, particularly those with risk factors. Midwifery-led birth units are an accessible option, with low odds of first-day neonatal mortality in Indonesia.

目的在高收入国家，对于有机会转院的低风险妇女来说，在家和在助产士主导的分娩单位助产是安全的。这些情况在印度尼西亚和其他低收入和中等收入国家尚未得到检验，这些国家的死亡率仍然高得令人无法接受，分析出生环境的研究没有考虑到怀孕风险。该研究旨在量化印度尼西亚不同出生环境下的新生儿第一天死亡率，调整怀孕风险和其他混杂因素，并总结获得医疗保健的障碍。方法使用2007年、2012年和2017年印度尼西亚人口健康调查中15-49岁妇女的自我报告数据（n = 45,953），采用logistic回归估计新生儿第一天死亡率的调整优势比（aOR）。总结了妇女报告的在获得保健方面的障碍。结果新生儿首日死亡率为3.45 / 1000。有妊娠风险的新生儿的比率更高(7.35/1000 vs 2.31/1000无风险；aOR = 3.17, 95% CI 2.29-4.38)；有和没有卫生专业人员在场的家庭分娩（分别为5.03/1000,aOR = 2.26, 95% CI 1.19-4.29和5.11/1000,aOR = 2.50, 95% CI 1.26-4.96）与助产士主导的分娩单位。在医院和助产士主导的分娩单位分娩的妇女报告说，获得医疗保健的障碍较少；那些在家中分娩而没有医疗专业人员的人报告最多。结论妊娠风险和获得保健服务的障碍是影响新生儿死亡率的关键因素。干预措施应针对在获得医疗保健方面面临障碍的妇女，特别是具有风险因素的妇女。助产士主导的分娩单位是一种可获得的选择，印度尼西亚新生儿第一天死亡率低。

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引用次数: 0

The need for preconception care: Australian women’s health beliefs, expectations, and trust in healthcare 对孕前护理的需求：澳大利亚妇女对保健的健康信念、期望和信任

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-03-19 DOI: 10.1016/j.srhc.2025.101092

Bec Jenkinson , Matilda Riek , Susan de Jersey , Lisa Buckley , Saba Nabi , Candice Irvine , Sherrie Liu , Seema Mihrshahi , Kathleen Baird , Jenny Doust , Gita D Mishra

Introduction

Preconception care aims to improve the health outcomes of parents and their children by optimising health prior to pregnancy. However, inconsistent adoption of preconception care guidelines and low uptake among women highlights the need for further exploration.

Aim

This study aims to explore women’s perceptions of the need for preconception care and the factors influencing these perceptions, including competing demands and expectations perceived by women while planning for pregnancy.

Methods

A participatory, qualitative approach was used, involving in-depth semi-structured interviews with reproductive-aged women in Australia. Reflexive thematic analysis was conducted on interview transcripts, including Synthesised Member Checking to verify findings.

Results

Interviews were conducted with 38 women. Three major themes emerged: (1) “Advice from trusted people will go a long way” emphasized the value of trusted connections and expertise; (2) “A bit of a baby factory” highlighted women’s sense of sole responsibility for pregnancy outcomes requiring their extensive efforts to avoid subsequent feelings of guilt and blame; (3) “If people knew” described women’s preference for privacy to avoid scrutiny and judgment.

Discussion

Women’s perception of the need for preconception care is shaped by intersecting issues of trust, individualised responsibility, and privacy. In the absence of relationship-based care with a trusted primary care provider, women seek lived experience and formal expertise online. Individual responsibility for preconception health is disempowering to women. Relationship-based models of primary maternity care, including midwifery models of care, and parasocial connections with experts may better meet women’s health needs in the preconception period.

前言孕前护理旨在通过优化孕前健康状况来改善父母及其子女的健康结果。然而，孕前护理指南的不一致采用和妇女的低吸收率突出了进一步探索的必要性。目的本研究旨在探讨妇女对孕前护理需求的认知及影响这些认知的因素，包括妇女在计划怀孕时感知到的竞争需求和期望。方法采用参与式定性方法，对澳大利亚育龄妇女进行深入的半结构化访谈。对访谈记录进行反身性专题分析，包括综合成员检查，以核实调查结果。结果对38名女性进行了访谈。出现了三大主题：(1)“来自值得信赖的人的建议将大有帮助”强调了值得信赖的关系和专业知识的价值；(2)“一点婴儿工厂”强调了女性对怀孕结果的唯一责任感，需要她们付出很大的努力来避免随后的内疚和责备感；(3)“如果人们知道”描述了女性对隐私的偏好，以避免被审视和评判。女性对孕前护理需求的看法是由信任、个人责任和隐私等交叉问题形成的。在缺乏可信赖的初级保健提供者提供的基于关系的护理的情况下，妇女在网上寻求生活经验和正式的专业知识。个人对孕前健康的责任削弱了妇女的权能。以关系为基础的初级产妇保健模式，包括助产保健模式，以及与专家的社会联系，可以更好地满足妇女在孕前期的保健需要。

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引用次数: 0

Birth Control use in People who had an Abortion in the Southeast Region of the United States 美国东南部地区堕胎患者的节育措施使用情况

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-03-19 DOI: 10.1016/j.srhc.2025.101091

Jessica Knott , Carrie Cwiak , Lynn Disney

Objective

To examine non-use of birth control among people who sought an abortion in the Southeast region. Access to birth control continues to be rife with barriers. There have been many studies that have examined unintended pregnancies and birth control use, but none have studied non-use among people who sought an abortion. Post the Dobbs decision, it is imperative to understand these risk factors.

Study Design

The self-administered survey was given to all patients presenting for abortion and consented to complete the survey while at the clinic or facility before their abortion. This study examined factors associated with non-use of birth control in people who had an abortion.

Results

Overall, 50.2% (n = 1,222) of people presenting for abortion reported using a birth control method. Multivariate analysis showed that white people were 1.4 (95% CI: 1.2, 1.7) times more likely to use birth control compared to Black people. People with a bachelor’s degree or higher were 1.8 (95% CI: 1.3, 2.5) times more likely to use birth control, compared to people without high school diploma. Those 200% or above the federal poverty line were 1.3 (95% CI: 1.1, 1.6) times more likely to use birth control compared to those below the federal poverty line.

Conclusion

This study showed the lack of use of birth control in some populations, highlighting the need for better awareness of and access to birth control and improved education on options for birth control. Policies that promote equitable access to health education and care, and effective options for preventing unintended pregnancy are imperative.

目的调查东南地区寻求人工流产的人群中未使用节育措施的情况。获得生育控制仍然充满障碍。有许多研究调查了意外怀孕和避孕措施的使用情况，但没有一项研究调查了寻求堕胎的人不使用避孕措施的情况。在Dobbs的决定之后，了解这些风险因素是非常必要的。研究设计：对所有前来堕胎的患者进行自我管理的调查，并同意在堕胎前在诊所或设施完成调查。这项研究调查了流产患者未使用节育措施的相关因素。结果总体而言，50.2% （n = 1,222）的人流报告使用了节育方法。多变量分析显示，白人使用节育措施的可能性是黑人的1.4倍（95% CI: 1.2, 1.7）。与没有高中文凭的人相比，拥有学士学位或更高学位的人采取避孕措施的可能性是1.8倍（95% CI: 1.3, 2.5）。与低于联邦贫困线的人相比，那些在联邦贫困线以上200%的人使用节育措施的可能性要高1.3倍（95% CI: 1.1, 1.6）。结论本研究显示，部分人群缺乏节育措施的使用，突出了提高节育意识和获得节育措施的必要性，以及加强节育选择教育的必要性。促进公平获得卫生教育和保健的政策以及预防意外怀孕的有效选择是必不可少的。

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