Challenges faced by new mothers in the early postpartum period: An analysis of comment data from the 2000 pregnancy risk assessment monitoring system (PRAMS) survey
Challenges faced by new mothers in the early postpartum period: An analysis of comment data from the 2000 pregnancy risk assessment monitoring system (PRAMS) survey
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DOI：
10.1007/s10995-007-0206-3
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发表时间：
2007-11-01
影响因子：
2.3
通讯作者：
Lansky, Amy
中科院分区：
文献类型：
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作者：
Kanotra, Sarojini;D'Angelo, Denise;Lansky, Amy
目的利用妊娠风险评估监测系统(PRMS)收集的定性数据，确定产妇产后2~9个月所面临的挑战。方法PRMS是一个持续的以人群为基础的监测系统，收集关于活体婴儿出生前、出生中和出生后的母亲行为和经历的自我报告信息。我们分析了2000年回答PRMS调查的10个州的女性的自由文本评论数据。初步分析包括对评论数据的审查，以确定主要主题，并对发表评论的女性(n=3417)和没有评论的女性(n=12,497)进行人口统计学比较。随后的分析包括对324名女性的数据进行系统编码，这些数据对产后的担忧进行了评论，并进行了评估，以确保编码员的可靠性达到可接受的水平。结果我们确定的主要问题是：(1)需要社会支持，(2)母乳喂养问题，(3)出院后新生儿护理缺乏教育，(4)产后抑郁需要帮助，(5)感觉到需要延长产后住院时间，(6)产后需要产妇保险。结论确定的主题表明，新妈妈需要更多的社会支持和教育，她们的一些关切与母乳喂养和医疗保健相关的政策有关。这些结果可用于为旨在解决对新妈妈的教育和产后护理连续性问题的方案和政策提供参考。
Objective To identify challenges that women face 2-9 months postpartum using qualitative data gathered by the Pregnancy Risk Assessment Monitoring System (PRAMS). Methods PRAMS is an on-going population-based surveillance system that collects self-reported information on maternal behaviors and experiences before, during, and after the birth of a live infant. We analyzed free text comment data from women in 10 states who answered the PRAMS survey in 2000. Preliminary analysis included a review of the comment data to identify major themes and a demographic comparison of women who commented (n = 3,417) versus women who did not (n = 12,497). Subsequent analysis included systematic coding of the data from 324 women that commented about postpartum concerns and evaluation to ensure acceptable levels of reliability among coders. Results We identified the following major themes, listed in order of frequency: (1) need for social support, (2) breastfeeding issues, (3) lack of education about newborn care after discharge, (4) need for help with postpartum depression, (5) perceived need for extended postpartum hospital stay, and (6) need for maternal insurance coverage beyond delivery. Conclusion The themes identified indicate that new mothers want more social support and education and that some of their concerns relate to policies regarding breastfeeding and medical care. These results can be used to inform programs and policies designed to address education and continuity of postpartum care for new mothers.