Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.
Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.
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DOI：
10.1002/ijgo.13432
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Patil CL
中科院分区：
文献类型：
--
作者：
Liese KL;Kapito E;Chirwa E;Liu L;Mei X;Norr KF;Patil CL
为了检验集体产前护理(PNC)是否增加了妇女报告的关键服务和教育主题，与马拉维和坦桑尼亚的个人PNC相比。数据来自之前发表的一项随机试验(n=218)，并使用自我报告调查收集。怀孕后期调查询问妇女在PNC期间是否获得了所有七项服务和所有13个主题。控制社会人口学、国家和PNC出席率，多元Logistic回归使用前向选择产生一个最终模型，显示接受所有关键服务和主题的预测因素。在多因素Logistic回归分析中，PNC组妇女接受所有7项服务的可能性是个别护理组的2.49倍(95%可信区间[CI]1.78-3.48)，接受所有13个主题的可能性是后者的5.25倍(95%CI 2.62-10.52)。这项研究提供了强有力的证据，证明PNC组满足为撒哈拉以南非洲地区的孕妇提供基本临床服务和围产期教育的临床护理标准。更多的基本PNC服务和教育主题可能为PNC小组如何实现其对孕产妇和新生儿结局的影响提供一种解释机制。临床试验网站：NCT03673709，NCT02999334。
To examine whether group prenatal care (PNC) increased key services and educational topics women reported receiving, compared with individual PNC in Malawi and Tanzania. Data come from a previously published randomized trial (n=218) and were collected using self-report surveys. Late pregnancy surveys asked whether women received all seven services and all 13 topics during PNC. Controlling for sociodemographics, country, and PNC attendance, multivariate logistic regression used forward selection to produce a final model showing predictors of receipt of all key services and topics. In multivariate logistic regression, women in group PNC were 2.49 times more likely to receive all seven services than those in individual care (95% confidence interval [CI] 1.78–3.48) and 5.25 times more likely to have received all 13 topics (95% CI 2.62–10.52). This study provides strong evidence that group PNC meets the clinical standard of care for providing basic clinical services and perinatal education for pregnant women in sub-Saharan Africa. The greater number of basic PNC services and educational topics may provide one explanatory mechanism for how group PNC achieves its impact on maternal and neonatal outcomes. ClinicalTrials.gov: NCT03673709, NCT02999334.
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影响因子：
34.3
作者：
Hug, Lucia;Alexander, Monica;Wakefield, John
通讯作者：
Wakefield, John
影响因子：
3
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影响因子：
2.3
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影响因子：
3.1
作者：
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通讯作者：
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影响因子：
3.7
作者：
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通讯作者：
Smith, Jeffrey M.