未接受产前护理的原因、健康行为及后果：改变实践的研究

Reasons, health behaviors, and outcomes of no prenatal care: research that changed practice.

作者信息

Higgins P G, Woods P J

机构信息

University of New Mexico Health Sciences Center, College of Nursing, Albuquerque, USA.

出版信息

Health Care Women Int. 1999 Mar-Apr;20(2):127-36. doi: 10.1080/073993399245836.

DOI:10.1080/073993399245836

PMID:10409983

Abstract

Changes in prenatal care practices resulted from a pilot study with 12 urban New Mexican women who received no prenatal care. The women were interviewed regarding their reasons for not receiving care during pregnancy, health behaviors, and perceived neonatal outcomes. Data on actual neonatal outcomes were taken from the medical record. Maternal reasons for no prenatal care were socio-demographic, system-related, attitudinal, and outside forces of job and childcare. To ensure a healthy baby, the women made changes in their nutrition, self-care activities, substance use, sleep, and exercise activities. All of the women perceived they had a healthy baby. Yet 61% of the neonates had complications and 45% were low birth weight. The research findings were used to develop a care management program that included case management and utilization management.

摘要

产前护理实践的改变源于一项针对12名未接受产前护理的新墨西哥州城市女性的试点研究。研究人员就这些女性在孕期未接受护理的原因、健康行为以及对新生儿结局的认知进行了访谈。实际新生儿结局的数据取自病历。女性未接受产前护理的原因包括社会人口统计学因素、系统相关因素、态度因素以及工作和育儿等外部因素。为了确保生出健康的宝宝，这些女性在营养、自我护理活动、物质使用、睡眠和运动活动方面做出了改变。所有女性都认为自己生出了健康的宝宝。然而，61%的新生儿有并发症，45%为低体重儿。研究结果被用于制定一个护理管理项目，该项目包括病例管理和利用管理。