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非裔美国女性在产房获得的产妇支持与出生体重

Maternal support in the delivery room and birthweight among African-American women.

作者信息

Lespinasse Antoine Alexandra, David Richard J, Collins James W, Handler Arden S, Wall Stephen N

机构信息

Mattapan Community Health Center, Mattapan, MA 02126, USA.

出版信息

J Natl Med Assoc. 2004 Feb;96(2):187-95.

Abstract

OBJECTIVES

We performed a hospital-based case control study of African-American mothers to explore the relationship between maternal support by a significant other in the delivery room and very low birthweight (VLBW).

METHODS

We administered a structured questionnaire to mothers of VLBW (less than 1,500 g; N=104) and normal birthweight (greater or equal to 2,500 g; N=208) infants.

RESULTS

The odds ratio for VLBW comparing women without social support in the delivery room to those with a companion was 3.5 (2.1-5.8). Several traditional risk factors were not associated with VLBW, but older maternal age and perceived racial discrimination were.

CONCLUSIONS

Maternal support in the delivery room or factors closely associated with it significantly decreases the odds of delivering a VLBW infant for African-American women.

摘要

目的

我们对非裔美国母亲进行了一项基于医院的病例对照研究,以探讨分娩时重要他人给予的产妇支持与极低出生体重(VLBW)之间的关系。

方法

我们对极低出生体重(小于1500克;N = 104)婴儿的母亲和正常出生体重(大于或等于2500克;N = 208)婴儿的母亲进行了结构化问卷调查。

结果

与分娩时有陪伴的女性相比,分娩时没有社会支持的女性生出极低出生体重儿的比值比为3.5(2.1 - 5.8)。一些传统风险因素与极低出生体重无关,但产妇年龄较大和感知到种族歧视与极低出生体重有关。

结论

分娩时的产妇支持或与之密切相关的因素显著降低了非裔美国女性生出极低出生体重儿的几率。

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