Perinatal care experiences among racially and ethnically diverse mothers whose infants required a NICU stay.

Perinatal care experiences among racially and ethnically diverse mothers whose infants required a NICU stay.
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DOI:
10.1038/s41372-020-0721-2
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发表时间:
2021-03
期刊:
Journal of perinatology : official journal of the California Perinatal Association
影响因子:
--
通讯作者:
Howell EA
Howell EA
中科院分区:
其他
文献类型:
--
作者:
Glazer KB;Sofaer S;Balbierz A;Wang E;Howell EA

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了解需要新生儿重症监护病房(NICU)的不同母亲如何评估其产科和新生儿护理。我们进行了三个焦点组,按种族/民族分层(黑人、拉丁裔、白色和亚洲妇女,n=20),这些妇女在妊娠<32周或<1500 g时分娩婴儿并入住NICU。我们要求妇女评估围产期护理,并应用经典的定性分析技术来确定主题,并进行各组之间的比较。各组之间的主要主题相似,包括临床医生沟通的彻底性和一致性,提供者的注意力,以及与婴儿亲近的障碍。护理经验在很大程度上是积极的,但有些人建议对黑人和拉丁裔母亲的沟通和反应较差。对于高危新生儿的母亲来说,在婴儿护理中感到被咨询和被包括是至关重要的。需要进一步深入研究,以弥补医院文化和质量的差异,导致新生儿护理和结果的差异。
To learn how diverse mothers whose babies required a neonatal intensive care unit (NICU) stay evaluate their obstetric and neonatal care. We conducted three focus groups stratified by race/ethnicity (Black, Latina, White, and Asian women, n=20) who delivered infants at <32 weeks gestation or <1500 grams with a NICU stay. We asked women to assess perinatal care and applied classic qualitative analysis techniques to identify themes and make comparisons across groups. Predominant themes were similar across groups, including thoroughness and consistency of clinician communication, provider attentiveness, and barriers to closeness with infants. Care experiences were largely positive, but some suggested poorer communication and responsiveness toward Black and Latina mothers. Feeling consulted and included in infant care is critical for mothers of high-risk neonates. Further in-depth research is needed to remediate differences in hospital culture and quality that contribute to disparities in neonatal care and outcomes.
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