Vulnerable Women's Perceptions of Individual Versus Group Prenatal Care: Results of a Cross-Sectional Survey
Vulnerable Women's Perceptions of Individual Versus Group Prenatal Care: Results of a Cross-Sectional Survey
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DOI：
10.1007/s10995-018-2559-1
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发表时间：
2018-11-01
影响因子：
2.3
通讯作者：
Metcalfe, Amy
中科院分区：
文献类型：
--
作者：
Hetherington, Erin;Tough, Suzanne;Metcalfe, Amy
1.弱势孕妇（如社会经济地位低的妇女或新移民）不太可能得到适当的产前护理或参加围产期教育课程。怀孕中心是一种集评估、教育和支持于一体的集体产前护理模式。本研究的目的是评估病人的经验，弱势妇女群体产前护理相比，个人护理。方法在阿尔伯塔城市社区卫生中心参加CP的妇女有资格参加。一个方便的样本的妇女谁接受个别照顾，在低风险的产科诊所作为比较。妇女们被问及一系列关于她们产前护理经历的问题。使用卡方、Fisher精确检验和t检验比较人口统计学和患者反应。结果45名妇女访问CP和92名妇女访问个人护理参加。CP中的妇女更年轻，更有可能是单身，比个人护理的妇女有第一个孩子。CP女性更有可能报告在怀孕期间（92%对66%，p = 0.002），母乳喂养（95%对70%，p = 0.002）和婴儿护理（95%对67%，p = 0.001）获得足够的信息。患有CP的妇女更有可能报告说，她们觉得产前护理提供者对怀孕如何影响她们的生活感兴趣（100比93%，p
Introduction Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Methods Women participating in CP at a community-based health centre in urban Alberta were eligible to participate. A convenience sample of women who received individual care at a low-risk maternity clinic served as comparison. Women were asked a series of questions on their prenatal care experience. Demographic and patient responses were compared using Chi square, fisher's exact and t tests. Results Forty-five women accessing CP and 92 women accessing individual care participated. Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy (92 vs. 66%, p = 0.002), breastfeeding (95 vs. 70%, p = 0.002) and baby care (95 vs. 67%, p = 0.001). Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life (100 vs. 93%, p