Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions.
Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions.
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DOI：
10.1007/s10995-009-0518-6
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发表时间：
2010-09
影响因子：
2.3
通讯作者：
Weisman CS
中科院分区：
文献类型：
--
作者：
Chuang CH;Velott DL;Weisman CS
患有慢性疾病的妇女患妊娠相关并发症的风险增加，但很少有研究探讨患有糖尿病、高血压和肥胖症的妇女如何看待与怀孕有关的风险或做出生殖健康决定。对72名非怀孕妇女进行了焦点小组调查，按慢性病(糖尿病、高血压、肥胖症)和既往活产进行分层。参与者讨论了他们对未来怀孕的意图、怀孕前健康优化、不良妊娠结局的感知风险以及避孕信念。确定了四个主要主题，不同的医疗条件和产次有一些不同：(1)关于与慢性医疗条件有关的怀孕风险的知识有限；(2)怀孕意向受到糖尿病和高血压的影响；(3)关于优化孕前健康的知识有限；(4)对避免意外怀孕的能力缺乏控制，包括对医疗条件可能如何影响避孕选择的知识有限。患有糖尿病和高血压的女性，但不是肥胖症的女性，通常意识到怀孕并发症的风险增加，并经常因此而对未来怀孕表达较少的意愿。然而，糖尿病和高血压妇女对她们面临风险的具体并发症知之甚少，即使是在那些以前经历过妊娠并发症的人中也是如此。慢性疾病和感知风险都不能保证参与先入为主的健康促进的意图。我们观察到患有糖尿病、高血压和肥胖的女性对怀孕相关风险的知识不足，以及缺乏参与先入为主的健康促进和怀孕计划的意图。这些发现对于为患有慢性疾病的妇女开展孕前护理具有重要的意义。
Women with chronic medical conditions are at increased risk for pregnancy-related complications, yet little research has addressed how women with diabetes, hypertension, and obesity perceive their pregnancy-associated risks or make reproductive health decisions. Focus groups were conducted with 72 non-pregnant women stratified by chronic condition (diabetes, hypertension, obesity) and by previous live birth. Participants discussed their intention for future pregnancy, preconception health optimization, perceived risk of adverse pregnancy outcomes, and contraceptive beliefs. Four major themes were identified, with some variation across medical conditions and parity: (1) Knowledge about pregnancy risks related to chronic medical conditions was limited; (2) Pregnancy intentions were affected by diabetes and hypertension, (3) Knowledge about optimizing preconception health was limited; and (4) Lack of control over ability to avoid unintended pregnancy, including limited knowledge about how medical conditions might affect contraceptive choices. Women with diabetes and hypertension, but not obesity, were generally aware of increased risk for pregnancy complications, and often expressed less intention for future pregnancy as a result. However, diabetic and hypertensive women had little knowledge about the specific complications they were at risk for, even among those who had previously experienced pregnancy complications. Neither chronic condition nor perceived risk ensured intent to engage in preconception health promotion. We observed knowledge deficits about pregnancy-related risks in women with diabetes, hypertension, and obesity, as well as lack of intent to engage in preconception health promotion and pregnancy planning. These findings have important implications for the development of preconception care for women with chronic medical conditions.
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影响因子：
3.2
作者：
Chuang, CH;Chase, GA;Weisman, CS
通讯作者：
Weisman, CS
影响因子：
16.2
作者：
Vahratian A;Barber JS;Lawrence JM;Kim C
通讯作者：
Kim C
影响因子：
16.2
作者：
Holing, EV;Brown, ZA;Connell, FA
通讯作者：
Connell, FA
影响因子：
9.8
作者：
Jensen, DM;Damm, P;Beck-Nielsen, H
通讯作者：
Beck-Nielsen, H
DOI：
10.1542/peds.2018-0939
发表时间：
2008-11-07
期刊：
Morbidity and Mortality Weekly Report
影响因子：
--
作者：
Dooley, Samuel W.;Dubose, Odessa T.;Tucker, Cynthia J.
通讯作者：
Tucker, Cynthia J.