Key outcomes for reporting in studies of pregnant women with multiple long-term conditions: a qualitative study.
Key outcomes for reporting in studies of pregnant women with multiple long-term conditions: a qualitative study.
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DOI：
10.1186/s12884-023-05773-5
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发表时间：
2023-08-01
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
母亲多种长期疾病与母亲和儿童的不良结局相关。我们进行了一项定性研究，为患有多种长期疾病的孕妇研究的核心结果集提供信息。有两种或两种以上预先存在的长期身体或精神健康状况的妇女，在过去五年内怀孕或计划怀孕的妇女，她们的伴侣和卫生保健专业人员都有资格。通过社交媒体、患者和医疗保健专业人员组织以及个人联系进行招募。有目的地对联系研究小组的参与者进行抽样，以获得最大变异。2021年12月至2022年3月在英国进行了三个虚拟焦点小组：（i）医疗保健专业人员（n = 8），（ii）患有多种长期疾病的女性（n = 6），以及（iii）患有多种长期疾病的女性（n = 6）和伴侣（n = 2）。有20种不同的身体健康状况和4种精神健康状况的妇女代表;来自产科、产科/产妇医学、助产、产科、围产期精神病学和全科的保健专业人员。参与者被问到在所有对患有多种长期疾病的孕妇的研究中应该报告什么结果。进行了归纳专题分析。将焦点组中确定的结果与核心结果集开发中系统性文献检索中确定的结果进行映射。焦点小组确定了63个结果，包括孕产妇（n = 43），儿童（n = 16）和卫生保健利用（n = 4）的结果。映射到系统性文献检索时，28个结局为新结局。被认为重要的成果在各利益攸关方群体中大致相似。妇女强调与护理过程有关的成果，如在保健小组之间和怀孕阶段之间过渡时的信息共享（护理的连续性）。妇女和伴侣都希望参与护理决定，并了解怀孕和婴儿面临的风险。卫生保健专业人员还优先考虑非临床结果，包括生活质量和对妇女的经济影响;以及长期结果，如儿童的发育结果。调查结果将为核心成果集的设计提供信息。与会者的经验为如何改善患有多种长期疾病的孕妇的产妇护理提供了有益的见解。在线版本包含补充材料，可通过10.1186/s12884-023-05773-5获得。
Maternal multiple long-term conditions are associated with adverse outcomes for mother and child. We conducted a qualitative study to inform a core outcome set for studies of pregnant women with multiple long-term conditions. Women with two or more pre-existing long-term physical or mental health conditions, who had been pregnant in the last five years or planning a pregnancy, their partners and health care professionals were eligible. Recruitment was through social media, patients and health care professionals’ organisations and personal contacts. Participants who contacted the study team were purposively sampled for maximum variation. Three virtual focus groups were conducted from December 2021 to March 2022 in the United Kingdom: (i) health care professionals (n = 8), (ii) women with multiple long-term conditions (n = 6), and (iii) women with multiple long-term conditions (n = 6) and partners (n = 2). There was representation from women with 20 different physical health conditions and four mental health conditions; health care professionals from obstetrics, obstetric/maternal medicine, midwifery, neonatology, perinatal psychiatry, and general practice. Participants were asked what outcomes should be reported in all studies of pregnant women with multiple long-term conditions. Inductive thematic analysis was conducted. Outcomes identified in the focus groups were mapped to those identified in a systematic literature search in the core outcome set development. The focus groups identified 63 outcomes, including maternal (n = 43), children’s (n = 16) and health care utilisation (n = 4) outcomes. Twenty-eight outcomes were new when mapped to the systematic literature search. Outcomes considered important were generally similar across stakeholder groups. Women emphasised outcomes related to care processes, such as information sharing when transitioning between health care teams and stages of pregnancy (continuity of care). Both women and partners wanted to be involved in care decisions and to feel informed of the risks to the pregnancy and baby. Health care professionals additionally prioritised non-clinical outcomes, including quality of life and financial implications for the women; and longer-term outcomes, such as children’s developmental outcomes. The findings will inform the design of a core outcome set. Participants’ experiences provided useful insights of how maternity care for pregnant women with multiple long-term conditions can be improved. The online version contains supplementary material available at 10.1186/s12884-023-05773-5.
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影响因子：
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影响因子：
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