Sexual & Reproductive Healthcare最新文献_第4页

Navigating grief Pedagogy in Midwifery: Insights from interviews with clinical midwifery educators 在助产学中导航悲伤教学法：来自临床助产学教育者访谈的见解。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-26 DOI: 10.1016/j.srhc.2025.101160

Fatemah Shafaq, Jennifer Fenwick, Loretta Musgrave

Objective

To explore Australian Clinical Midwifery Educators’ perceptions of the barriers and enablers to facilitating midwifery students’ clinical learning experiences in perinatal loss and grief care.

Method

A qualitative descriptive design was used. Ten Clinical Midwifery Educators participated in semi-structured Zoom interviews. Data were analysed using thematic analysis.

Results

Seven themes emerged, five barriers and two enablers. Barriers included the low prioritisation of perinatal loss education, protective attitudes toward students and women, the emotional and practical challenges of teaching this sensitive topic, and the impact of busy clinical environments. Enablers included students’ emotional readiness and the role of universities as safe spaces to initiate learning and discussion. These findings highlight the complexity of preparing students for perinatal grief care and the need for systemic educational reform.

Conclusion

Graduating midwifery students often lack the knowledge, skills, and confidence to provide evidence-informed, woman-centred care in the context of perinatal loss and grief. Limited clinical exposure contributes to this gap, leaving students underprepared for emotionally complex care situations. Midwifery students require structured, supported exposure to perinatal loss care to build emotional resilience and clinical competence. A shift in mindset is needed to balance protection with preparation. Strengthening university curricula, enhancing collaboration with clinical settings, and prioritising mental preparedness are essential. Future research should examine the impact of pre-registration exposure on graduate midwives’ readiness to provide bereavement care.

目的：探讨澳大利亚临床助产学教育者对助产学学生围产期丧失和悲伤护理临床学习经验的障碍和促进因素的认识。方法：采用定性描述设计。10名临床助产教育工作者参加了半结构化的Zoom访谈。采用专题分析对数据进行分析。结果：出现了七个主题，五个障碍和两个促成因素。障碍包括围产期损失教育的低优先级，对学生和妇女的保护态度，教学这一敏感话题的情感和实际挑战，以及繁忙的临床环境的影响。促进因素包括学生的情感准备以及大学作为发起学习和讨论的安全空间的作用。这些发现强调了为学生准备围产期悲伤护理的复杂性和系统教育改革的必要性。结论：即将毕业的助产学学生往往缺乏知识、技能和信心，无法在围产期丧失和悲伤的情况下提供循证、以妇女为中心的护理。有限的临床接触造成了这一差距，使学生对情感复杂的护理情况准备不足。助产学学生需要结构化的、有支持的围产期损失护理，以建立情绪弹性和临床能力。要在保护和准备之间取得平衡，需要转变心态。加强大学课程、加强与临床机构的合作以及优先考虑心理准备是至关重要的。未来的研究应该检查注册前暴露对毕业生助产士准备提供丧亲护理的影响。

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引用次数: 0

Advancing sexual and reproductive health and rights in wartime Ukraine through international collaboration 通过国际合作促进战时乌克兰的性健康和生殖健康及权利。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-25 DOI: 10.1016/j.srhc.2025.101158

Kerstin Erlandsson , Valerie Marichereda , Viktoriia Borshch , Iryna Mogilevkina , Kateryna Nitochko , Larysa Klymanska , Liliia Klos , Inna Haletska , Maryna Klimanska , Tetiana Chaban , Halyna Herasym , Catrin Borneskog

Dalarna University (Sweden) and three Ukrainian universities in 2023 initiated a collaborative project to strengthen SRHR education in Ukraine through new curricula, an online platform, and peer-learning workshops. The objective of this commentary is to present the project’s approach, implementation, and outcomes, demonstrating how international academic collaboration can strengthen SRHR education and youth consultation services in the context of war and post-war reconstruction. Inspired by Sweden’s comprehensive sexuality education model, the project meets humanitarian needs while supporting reforms. Policy priorities include aligning with UNESCO guidance on sexuality education, integrating adolescent SRHR into healthcare financing, and expanding youth-friendly services.

达拉纳大学（瑞典）和三所乌克兰大学于2023年启动了一项合作项目，通过新课程、在线平台和同侪学习研讨会加强乌克兰的SRHR教育。本评论的目的是介绍该项目的方法、实施和成果，展示国际学术合作如何在战争和战后重建的背景下加强SRHR教育和青年咨询服务。该项目受瑞典综合性教育模式的启发，在支持改革的同时满足人道主义需求。政策优先事项包括与教科文组织关于性教育的指导意见保持一致，将青少年性健康和生殖资源管理纳入保健筹资，以及扩大对青年友好的服务。

引用次数: 0

Women’s opinions and experiences of genital aesthetic surgery: A systematic review and meta-synthesis study 女性生殖器美容手术的意见和经验：系统回顾和综合研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-21 DOI: 10.1016/j.srhc.2025.101157

Muazez KÜÇÜKKAYA , Büşra DOLKUN , Hüsniye DİNÇ KAYA

This study aimed to provide a descriptive synthesis of qualitative studies focusing on women’s experiences with genital aesthetic surgery and develop analytical themes. A systematic review and meta-synthesis. Thematic synthesis, one of the meta-synthesis methods, was used. The selection of articles is shown in PRISMA. Study quality was assessed using McMaster University Tool. Comprehensive searches were conducted across five electronic databases with no publication date limits for qualitative studies published up to 2024, with no publication date limitation. The database search retrieved 767 articles. Of these, 573 duplicates were eliminated, leaving 194 articles assessed for compliance with the research criteria. Although one article met the research criteria, it was excluded because it was categorized as commentary. Finally, 14 articles were included in the analysis. Fourteen studies meeting the inclusion criteria were included. Data analysis identified 12 subcategories, which were grouped into four main categories: “motivations,” “acceptance of genital aesthetic surgery,” “postsurgical experiences,” and “barriers and expectations.” This qualitative meta-synthesis highlights women’s motivations, experiences, and challenges related to genital aesthetic surgery.

本研究的目的是提供一个描述性的综合定性研究侧重于妇女的经验与生殖器美容手术和发展分析的主题。系统回顾和综合。采用元综合方法之一的主题综合。文章的选择显示在PRISMA中。使用麦克马斯特大学工具评估研究质量。在5个电子数据库中进行了全面的检索，对截至2024年发表的定性研究没有出版日期限制，没有出版日期限制。数据库检索检索到767篇文章。其中573篇重复文章被剔除，剩下194篇文章被评估是否符合研究标准。虽然有一篇文章符合研究标准，但由于被归类为评论而被排除在外。最终纳入14篇文章进行分析。14项符合纳入标准的研究被纳入。数据分析确定了12个子类别，分为四个主要类别：“动机”、“接受生殖器美容手术”、“术后经历”和“障碍和期望”。这一定性综合强调了女性的动机、经历和与生殖器美容手术相关的挑战。

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引用次数: 0

Geographic disparities in antenatal care utilization in Addis Ababa city, Ethiopia using demographic and health survey data: A small area estimation approach 埃塞俄比亚亚的斯亚贝巴市使用人口和健康调查数据的产前保健利用的地理差异：小区域估计方法。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-19 DOI: 10.1016/j.srhc.2025.101156

W. Dechassa Heyi , P.M. Macharia , A. Asefa , L. Beňová , O.S. Olagunju , W. Mekonnen

Objective

Despite new recommendations for eight visits, four visits (ANC4+ ) remain low and inequitable in sub-Saharan Africa. Intra-urban estimates are often lacking to inform targeted interventions. This study applied small area estimation (SAE) to model the spatial variation of ANC4+ coverage in Addis Ababa city, Ethiopia.

Study design

Cross-sectional.

Methods

We analyzed data from women who had given a live birth in the five years preceding the 2016 Ethiopia Demographic and Health Surveys (DHS) in Addis Ababa city (∼5million population). In addition to covariates from DHS, we included auxiliary data on travel time to the nearest health facility . A Bayesian hierarchical spatial model was used to model ANC4+ coverage in the 10 sub-cities of Addis Ababa city, adjusting for covariates.

Result

Overall ANC4+ was 88.7 % (95 % CI: 84.2–92.1), with sub-city variation ranging from 80.6 % in Kolfe Keranio to 98.2 % in Nifas Silk Lafto. Eight of the ten sub-cities had ANC4+ coverage less than 90 %. Women less than 20 years (AOR = 0.30; 95 % CI: 0.99–1.16), with no education (AOR = 0.30; 95 % CI: 0.11–0.89), poorer wealth quintile (AOR = 0.40; 95 % CI: 0.19–1.04), and longer travel time (AOR = 0.90; 95 % CI: 0.82–0.99) were associated with lower ANC4+ utilization. Married women (AOR = 2.20; 95 % CI: 1.10–4.50) were associated with higher utilization of ANC4+.

Conclusion

Despite Addis Ababa’s relatively high overall ANC4+ coverage, significant differences at the sub-city level exist, with coverage still short of the 95 % global target. Targeted resource allocation and geographically informed policies are required to reduce these disparities.

目标：尽管有8次就诊的新建议，但在撒哈拉以南非洲，4次就诊（ANC4+）仍然很低且不公平。城市内部的估计往往不足以为有针对性的干预提供信息。本研究采用小面积估计（SAE）方法对埃塞俄比亚亚的斯亚贝巴市ANC4+覆盖的空间变化进行了模拟。研究设计：横断面。方法：我们分析了亚的斯亚贝巴市2016年埃塞俄比亚人口与健康调查（DHS）（约500万人口）前五年内活产妇女的数据。除了来自国土安全部的协变量外，我们还纳入了前往最近的卫生机构所需时间的辅助数据。采用贝叶斯层次空间模型对亚的斯亚贝巴市10个子城市的ANC4+覆盖进行了协变量调整。结果：总体ANC4+为88.7% (95% CI: 84.2 ~ 92.1)，分城市差异从Kolfe Keranio的80.6%到Nifas Silk Lafto的98.2%不等。10个副城市中有8个城市的ANC4+覆盖率低于90%。20岁以下（AOR = 0.30; 95% CI: 0.99-1.16）、未受教育（AOR = 0.30; 95% CI: 0.11-0.89）、较贫穷的五分位数（AOR = 0.40; 95% CI: 0.19-1.04）和较长的旅行时间（AOR = 0.90; 95% CI: 0.82-0.99）与较低的ANC4+利用率相关。已婚妇女（AOR = 2.20; 95% CI: 1.10-4.50）与较高的ANC4+使用率相关。结论：尽管亚的斯亚贝巴的总体ANC4+覆盖率相对较高，但在副城市层面存在显著差异，覆盖率仍低于95%的全球目标。要缩小这些差距，需要有针对性的资源分配和了解地理情况的政策。

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引用次数: 0

Quality of couple relationship among first-time mothers and partners, during pregnancy and the following eight years after childbirth 在怀孕期间和分娩后的八年里，第一次母亲和伴侣之间的夫妻关系质量

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-16 DOI: 10.1016/j.srhc.2025.101155

Angelica Holst , Frida Lygnegård , Jenny Hallgren , Caroline Bäckström

Objective

The couple’s relationship is affected by the transition to parenthood, but research findings are mixed, with some studies showing positive effects on the relationship and others indicating negative impacts. This study aims to explore first-time mothers’ and their partners’ perceived quality of dyadic relationship (QDR36) during pregnancy and the following eight years after childbirth as well as what factors that are associated with a higher QDR36.

Methods

A prospective longitudinal cohort study on 917 Swedish parents, with repeated questionnaires at: gestational week 25 (T1); first week after childbirth (T2); six months (T3); one year (T4); two years (T5); four years (T6), and eight years (T7) after childbirth. Non-parametric tests and Cohen’s effect size calculation were conducted to analyze change over time in QDR36. Multiple linear regressions were carried out with index for QDR36 as dependent variable, at all time points (T1-T7).

Results

QDR36 varied over time among both first-time mothers and partners, showing an increase between T1 and T2, followed by a decrease between each point in time. QDR36 was statistically lower at T7 compared to all other points in time (T1-T6). Variations were observed in the variables that were associated with a higher QDR36 at different time points, however higher sense of coherence (SOC-13) and social support (MSPSS) were consistently associated.

Conclusion

First-time mothers and partners’ perceived quality of couple relationship declines the first eight years after birth. To support them in their couple relationship, healthcare professionals should acknowledge parents’ sense of coherence and social support.

这对夫妇的关系受到父母身份转变的影响，但研究结果好坏参半，一些研究表明对关系有积极影响，另一些研究表明有消极影响。本研究旨在探讨第一次母亲及其伴侣在怀孕期间和分娩后8年的双元关系感知质量（QDR36），以及与较高QDR36相关的因素。方法对917名瑞典父母进行前瞻性纵向队列研究，在妊娠第25周（T1）进行重复问卷调查；分娩后第一周（T2）；六个月（T3）；一年（T4）；两年（T5）；产后4年（T6）和8年（T7）。采用非参数检验和Cohen效应量计算来分析QDR36随时间的变化。在所有时间点（T1-T7），以QDR36指数为因变量进行多元线性回归。结果qdr36在首次生育的母亲和伴侣之间随时间变化，在T1和T2之间增加，然后在每个时间点之间减少。与其他时间点（T1-T6）相比，T7时QDR36较低。在不同的时间点，与较高的QDR36相关的变量存在差异，但较高的连贯性（SOC-13）和社会支持（MSPSS）始终相关。结论初生母亲和伴侣对夫妻关系的感知质量在产后8年内呈下降趋势。为了支持他们的夫妻关系，医疗保健专业人员应该承认父母的一致性和社会支持感。

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引用次数: 0

Combining the antenatal risk questionnaire and the Edinburgh postnatal depression scale as a psychosocial risk assessment tool in Danish antenatal care. A descriptive study 结合产前风险问卷和爱丁堡产后抑郁量表作为心理社会风险评估工具在丹麦产前护理。描述性研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-12 DOI: 10.1016/j.srhc.2025.101154

Lotte Broberg , Katrine Røhder , Jane Marie Bendix , Ellen Løkkegaard , Mette Væver , Helle Johnsen , Mette Juhl , Vibeke de Lichtenberg , Michaela Schiøtz

引用次数: 0

Enhancement of midwives’ and child healthcare nurses’ attitudes towards the WHO’s recommendations following breastfeeding training: A quasi-experimental study 加强助产士和儿童保健护士对世界卫生组织母乳喂养培训建议的态度：一项准实验研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-05 DOI: 10.1016/j.srhc.2025.101152

Ingrid Blixt , Philip Fowler , Ove Axelsson , Eva-Lotta Funkquist

Objective

This study aimed to assess healthcare professionals’ attitudes towards breastfeeding, in line with the WHO guidelines, before and after a breastfeeding intervention in Sweden.

Methods

A quasi-experimental, prospective, longitudinal before-and-after design with a control group was used. Data were collected between 2020 and 2021. The sample included 26 midwives and child healthcare nurses in the intervention group, and 18 in the control group, all working in antenatal and child healthcare centres. The intervention group received breastfeeding training based on the WHO recommendations. The 15-item Healthcare Professionals’ Attitudes instrument was used to measure attitudes.

Results

The intervention improved attitudes on nine of the 15 questions immediately post-training, with effects maintained at one-year. The largest change was for the item: ‘It is appropriate for infants to wait until they are six months old before tasting samples’ (p = 0.000). At follow-up, five items differed significantly between groups: ‘Infants can have commercial milk formula in the evening if they breastfeed frequently at night’ (p = 0.002), ‘It is inappropriate for a mother to breastfeed a one-year-old in a restaurant’ (p = 0.017), ‘It is appropriate for infants to breastfeed every three hours’ (p = 0.020), ‘When a mother has bleeding nipples, it is appropriate to inform her that formula is acceptable’ (p = 0.023), and ‘It is important for infants to have uninterrupted sleep at night’ (p = 0.047).

Conclusion

The breastfeeding training programme improved healthcare professionals’ attitudes towards breastfeeding, with positive effects sustained one year following the intervention.

目的本研究旨在评估卫生保健专业人员对母乳喂养的态度，符合世卫组织的指导方针，母乳喂养干预前后在瑞典。方法采用准实验、前瞻性、纵向前后对照设计，并设对照组。数据收集于2020年至2021年之间。样本包括干预组的26名助产士和儿童保健护士，对照组的18名助产士和儿童保健护士，均在产前和儿童保健中心工作。干预组接受了基于世卫组织建议的母乳喂养培训。采用15项医疗专业人员态度量表测量态度。结果干预后立即改善了15个问题中的9个问题的态度，效果维持了一年。最大的变化是在项目上：“婴儿应该等到6个月大的时候再品尝样品”（p = 0.000）。在随访中，五项在两组之间有显著差异：婴儿可以有商业配方奶粉在晚上如果他们晚上经常母乳喂养(p = 0.002),它不适合母乳喂养的母亲在餐馆一个一岁大的(p = 0.017),这是适合婴儿母乳喂养每三小时(p = 0.020),当一个母亲乳头出血,它是适当的通知她,公式是可以接受的(p = 0.023),和它对婴儿晚上有不间断的睡眠很重要的(p = 0.047)。结论母乳喂养培训项目改善了医护人员对母乳喂养的态度，干预后一年仍有积极效果。

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引用次数: 0

This might hurt: Healthcare provider’s experience of managing pain during intrauterine device insertions in Victoria, Australia 这可能会造成伤害：澳大利亚维多利亚州的医疗保健提供者在宫内节育器插入过程中处理疼痛的经验。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-10-05 DOI: 10.1016/j.srhc.2025.101153

Hannah Wood , Cassandra Caddy , Henrietta Williams , Cathy Watson , Jacqueline Coombe

Background

Intrauterine devices (IUDs) are highly effective long-acting reversible contraceptives (LARCs) with relatively low uptake in Australia. They are typically inserted in primary care settings by trained general practitioners. Most patients report some pain during this procedure, yet health care provider (HCP) perspectives on pain management during IUD insertions is not well understood.

Methods

Individual semi-structured online interviews were conducted in 2024 with 16 HCPs who have inserted at least one IUD (outside of a training context) since 2020, in Victoria, Australia. Data were thematically analysed.

Results

Four themes were identified: managing pain requires diverse and adaptable strategies, conflicts in duty of care, awareness of and response to patient’s expected and actual pain, and systemic barriers to pain management. Participants felt that a standardised approach to pain management for IUD insertions was unsuitable, and pain management for this procedure requires patient preparation and flexible pharmaceutical and non-pharmaceutical strategies. Maintaining patient-centred care whilst inserting the IUD and managing pain was challenging, particularly as participants observed discrepancies in verbal and non-verbal cues from patients. Clinical and structural barriers impacted their ability to provide this level of care.

Conclusion

Most participants expressed satisfaction with current pain management methods, and some pain was viewed as expected for this procedure, revealing a possible disconnect between provider and patient expectations. Findings indicate that updated clinical guidelines, funding that reflects the time and skill required to complete this procedure and improved access to IUD insertions under anaesthetic would better support HCPs in mitigating their patient’s pain.

背景：宫内节育器（iud）是一种高效、长效、可逆的避孕药具（LARCs），在澳大利亚的使用率相对较低。它们通常由训练有素的全科医生插入初级保健机构。大多数患者在此过程中报告一些疼痛，但卫生保健提供者（HCP）对宫内节育器插入过程中疼痛管理的看法尚未得到很好的理解。方法：2024年在澳大利亚维多利亚州对16名自2020年以来至少植入了一个宫内节育器（在培训背景之外）的HCPs进行了个人半结构化在线访谈。对数据进行主题分析。结果：确定了四个主题：管理疼痛需要多样化和适应性策略，护理责任的冲突，对患者预期和实际疼痛的认识和反应，以及疼痛管理的系统性障碍。与会者认为，宫内节育器插入疼痛管理的标准化方法是不合适的，该过程的疼痛管理需要患者准备和灵活的药物和非药物策略。在插入宫内节育器和控制疼痛的同时保持以患者为中心的护理是具有挑战性的，特别是当参与者观察到患者口头和非口头暗示的差异时。临床和结构障碍影响了他们提供这种水平护理的能力。结论：大多数参与者对目前的疼痛管理方法表示满意，并且一些疼痛被认为是预期的，这表明提供者和患者期望之间可能存在脱节。研究结果表明，更新的临床指南，反映完成该程序所需时间和技能的资金，以及在麻醉下改善宫内节育器插入的可及性，将更好地支持HCPs减轻患者的痛苦。

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引用次数: 0

The experience of working alone as midwives in small-scale municipalities – a qualitative study with emphasis on professional loneliness 在小型城市作为助产士独自工作的经验——一项强调职业孤独的定性研究。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-09-28 DOI: 10.1016/j.srhc.2025.101150

Kristine Bjelland, Vigdis Aasheim, Eline Skirnisdottir Vik, Elisabeth Hemnes Aanensen

Objective

To examine how midwives in small-scale municipalities in Norway experience working alone, with emphasis on professional loneliness.

Method

This qualitative study was conducted using semi-structured interviews with twelve midwives. The data were analysed using Systematic Text Condensation as described by Malterud.

Results

The experience of working alone was described in terms of managing municipality’s maternity service independently, having an extensive practice and responsibility, feeling a duty to maintain up-to-date knowledge, and recognising the critical value of professional networks, both locally and centrally.

Conclusion

Working alone had both positive and negative impacts, and this study gives a deeper insight into professional loneliness as a challenge. A broader approach is necessary to uncover the consequences of working alone for individual midwives and the overall quality of service.

目的：研究挪威小型城市的助产士如何独自工作，重点是职业孤独。方法：采用半结构化访谈法对12名助产士进行定性研究。使用Malterud描述的system Text Condensation对数据进行分析。结果：独自工作的经验被描述为独立管理市政产科服务，有广泛的实践和责任，感觉有责任保持最新的知识，并认识到专业网络的关键价值，地方和中央。结论：独自工作既有积极的影响，也有消极的影响，本研究对职业孤独作为一种挑战有了更深入的了解。有必要采取更广泛的方法来揭示单独工作对个别助产士和整体服务质量的影响。

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引用次数: 0

Maternal physical health and breastfeeding problems in Croatia: national online survey of new mothers 克罗地亚产妇身体健康和母乳喂养问题：对新妈妈的全国在线调查。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-09-27 DOI: 10.1016/j.srhc.2025.101149

Lisa H Amir , Daniela Drandić , Anita Pavičić Bošnjak , Ana Vidović Roguljić , Gill Thomson , Irena Zakarija-Grković

Objective

To document maternal physical health and breastfeeding problems in the first six months after giving birth in Croatia during the pandemic.

Methods

We conducted a cross-sectional study using an online questionnaire between February and April 2022 among resident Croatian women who had enrolled in the RODA (‘Parents in Action’) online antenatal course. Women aged 18 + years, who had given birth in a Croatian maternity facility between February 2020 and December 2021 were eligible. The questionnaire contained 75 items, covering sociodemographic characteristics, hospital practices, community support, maternal mental and physical health.

Results

Postpartum health and breastfeeding items were completed by 1760 participants. Most women were primiparous (80 %, n = 1420) and 72 % birthed vaginally (n = 1274). Major physical health issues were fatigue (28 %; n = 487), back pain (14 %; n = 252), and haemorrhoids (10 %; n = 171). Urinary incontinence was a minor problem for 23 % (n = 397), somewhat of a problem for 8 % (n = 139) and a major problem for 4 % (n = 67).The most common breastfeeding problems were nipple pain/damage 50 % (n = 885), difficulty attaching 43 %, (n = 761), low milk supply 28 % (n = 490), mastitis 22 % (n = 391), engorgement 22 % (n = 393), breast refusal 22 % (n = 381), and too much milk 22 % (n = 380).

Conclusion

Consistent with reports of maternal postpartum health in other countries, women in Croatia experienced many physical health challenges in the six months after childbirth. Most women described problems with breastfeeding; the frequency of pain associated with breastfeeding is concerning. Healthcare systems need to provide effective assistance to enable new mothers to establish breastfeeding without nipple pain and damage even during times of emergency measures.

目的：记录大流行期间克罗地亚产妇分娩后头六个月的身体健康和母乳喂养问题。方法：我们在2022年2月至4月期间对参加RODA（“父母在行动”）在线产前课程的克罗地亚居民妇女进行了一项横断面研究。2020年2月至2021年12月期间在克罗地亚产科设施分娩的18岁以上妇女有资格。调查表包含75个项目，包括社会人口特征、医院做法、社区支助、产妇身心健康。结果：1760名参与者完成了产后健康和母乳喂养项目。大多数妇女为初产（80%,n = 1420）， 72%为顺产（n = 1274）。主要的身体健康问题是疲劳（28%,n = 487）、背痛（14%,n = 252）和痔疮（10%,n = 171）。尿失禁是23% （n = 397）的小问题，8% （n = 139）的大问题，4% （n = 67）的大问题。最常见的母乳喂养问题是乳头疼痛/损伤50% (n = 885)，附着困难43% (n = 761)，奶量不足28% (n = 490)，乳腺炎22% (n = 391)，充血22% (n = 393)，拒乳22% (n = 381)，奶量过多22% （n = 380）。结论：与其他国家关于产妇产后健康的报告一致，克罗地亚妇女在分娩后6个月内经历了许多身体健康方面的挑战。大多数妇女描述了母乳喂养的问题；与母乳喂养相关的疼痛频率令人担忧。卫生保健系统需要提供有效的援助，使新妈妈即使在采取紧急措施时也能在没有乳头疼痛和损伤的情况下进行母乳喂养。

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引用次数: 0