Are women and providers satisfied with antenatal care? Views on a standard and a simplified, evidence-based model of care in four developing countries.
Are women and providers satisfied with antenatal care? Views on a standard and a simplified, evidence-based model of care in four developing countries.
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DOI：
10.1186/1472-6874-2-7
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发表时间：
2002-07-19
期刊：
影响因子：
--
通讯作者：
Berendes, Heinz
中科院分区：
文献类型：
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作者：
Langer, Ana;Villar, Jose;Berendes, Heinz
背景：本研究在四个发展中国家进行的世卫组织随机试验中评估了妇女和提供者对一种新的循证产前护理（ANC）模式的满意度。世卫组织的研究是一项随机对照试验，将新的ANC模型与每个国家提供的标准类型进行了比较。产前保健新模式强调已知可有效改善产妇或新生儿健康的行动，排除了未证明有益的其他干预措施，并改进了信息部分，特别是提醒孕妇注意潜在的健康问题，并指导她们采取适当的应对措施。这些活动在不需要任何进一步评估的妇女的四次产前检查中进行。方法：通过对随机抽样的1600名孕妇和所有产前保健提供者进行标准化问卷调查来测量满意度。结果：两组妇女对ANC均表示满意。干预组中更多的妇女对分娩、分娩、计划生育、妊娠并发症和紧急程序方面的信息感到满意。更多的实验诊所的提供者担心就诊间隔，但对花费的时间和提供的信息更满意。结论：妇女和提供者普遍接受新的ANC模式。如果要将这种模式引入日常实践，就必须加强妇女较少就诊而没有并发症的安全性。
BACKGROUND: This study assessed women and providers' satisfaction with a new evidence-based antenatal care (ANC) model within the WHO randomized trial conducted in four developing countries. The WHO study was a randomized controlled trial that compared a new ANC model with the standard type offered in each country. The new model of ANC emphasized actions known to be effective in improving maternal or neonatal health, excluded other interventions that have not proved to be beneficial, and improved the information component, especially alerting pregnant women to potential health problems and instructing them on appropriate responses. These activities were distributed within four antenatal care visits for women that did not need any further assessment. METHODS: Satisfaction was measured through a standardized questionnaire administered to a random sample of 1,600 pregnant women and another to all antenatal care providers. RESULTS: Most women in both arms expressed satisfaction with ANC. More women in the intervention arm were satisfied with information on labor, delivery, family planning, pregnancy complications and emergency procedures. More providers in the experimental clinics were worried about visit spacing, but more satisfied with the time spent and information provided. CONCLUSIONS: Women and providers accepted the new ANC model generally. The safety of fewer visits for women without complications with longer spacing would have to be reinforced, if such a model is to be introduced into routine practice.