The Canadian Maternity Experiences Survey: An Overview of Findings
The Canadian Maternity Experiences Survey: An Overview of Findings
复制标题
DOI：
10.1016/s1701-2163(16)32758-x
复制
发表时间：
2008-03-01
影响因子：
1.8
通讯作者：
Kaczorowski, Janusz
中科院分区：
文献类型：
--
作者：
Chalmers, Beverley;Dzakpasu, Susie;Kaczorowski, Janusz
目的：加拿大公共卫生署（PHAC）的加拿大围产期监测系统（CPSS）利用现有的行政数据库和人口健康调查，定期监测全国围产期健康指标。这些数据来源没有反映妇女对其围产期经历的看法和评估。产妇经验调查（MES）解决了其中的一些知识差距，旨在检查加拿大分娩妇女在怀孕、分娩和产后最初几个月的经验、做法、观念和知识。方法：从2006年5月的加拿大人口普查中随机抽取8542名妇女，主要按省和地区分层。在采访时，与婴儿一起生活的生母被邀请参加由加拿大统计局代表PHAC进行的计算机辅助电话采访。面谈时间约为45分钟，完成时婴儿为5至10个月大（领土为9至14个月大）。6421名女性（78%）完成了问卷调查。结果：大多数妇女报告对她们得到的护理感到满意。调查结果表明，在怀孕、分娩和分娩过程中，某些干预措施的使用率高于现有证据所建议的水平，对以家庭为中心的问题和世界卫生组织/联合国儿童基金会“爱婴医院倡议”有关的若干最佳做法的遵守程度较低。结论：评估妇女对围产期护理的认识是对传统围产期监测工具的宝贵补充。MES将考虑到妇女对加拿大目前产妇保健政策和做法的看法。
Objective: The Canadian Perinatal Surveillance System (CPSS) of the Public Health Agency of Canada (PHAC) routinely monitors national perinatal health indicators using available administrative databases and population health surveys. Women's perceptions and assessments of their perinatal experiences are not captured by these data sources. The Maternity Experiences Survey (MES) addresses some of these knowledge gaps, and was designed to examine experiences, practices, perceptions and knowledge during pregnancy, birth and the early postpartum months among women giving birth in Canada.Methods: A randomly selected sample of 8542 women, stratified primarily by province and territory, was drawn from the May 2006 Canadian Census. Birth mothers living with their infants at the time of interview were invited to participate in a computer assisted telephone interview conducted by Statistics Canada on behalf of the PHAC. Interviews took approximately 45 minutes and were completed when infants were between five and 10 months old (between 9 and 14 months in the territories). Completed responses were obtained from 6421 women (78%).Results: Most women reported being satisfied with the care they received. The findings suggested a higher use of selected interventions in pregnancy, labour and birth than is recommended by current evidence and a lower adherence to several best practices related to family-centred issues and the World Health Organization / United Nations Children's Fund "Baby Friendly Hospital Initiative."Conclusion: Assessing women's perceptions of their perinatal care provides a valuable supplement to traditional perinatal surveillance tools. The MES will allow for women's views to be considered in relation to current maternity care policies and practices in Canada.