超出产科服务范畴的产前保健：非预约保健的利用情况及预测因素
Prenatal health care beyond the obstetrics service: utilization and predictors of unscheduled care.
作者信息
Magriples Urania, Kershaw Trace S, Rising Sharon Schindler, Massey Zohar, Ickovics Jeannette R
机构信息
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT 06520-8034, USA.
出版信息
Am J Obstet Gynecol. 2008 Jan;198(1):75.e1-7. doi: 10.1016/j.ajog.2007.05.040.
OBJECTIVE
The objective of the study was to describe the patient characteristics of prenatal care utilization within and outside of routine obstetric care, and the clinical and psychosocial factors that predict care utilization.
STUDY DESIGN
Four hundred twenty pregnant women enrolled in a randomized controlled trial receiving prenatal care in a university-affiliated clinic. All hospital encounters were obtained by review of computerized databases. The Kotelchuck index (KI) was computed, and the characteristics of inadequate, adequate, or excessive prenatal care were described. Demographic and psychosocial predictors of unscheduled visits were evaluated.
RESULTS
A total of 50.5% of women were adequate users by KI, with 19% being inadequate. An average of 5 additional unscheduled encounters occurred (standard deviation 4.2; range, 0-26). Almost 75% of participants made an unscheduled obstetric visit, with 38% making 2 or more unscheduled visits. Overweight/obese, younger women, high symptom distress, and excessive and inadequate prenatal users were more likely to utilize the labor floor before delivery.
CONCLUSION
Unscheduled care is common during pregnancy.
目的
本研究的目的是描述常规产科护理范围内外产前护理利用的患者特征，以及预测护理利用的临床和心理社会因素。
研究设计
420名孕妇参加了一项在大学附属医院诊所接受产前护理的随机对照试验。通过审查计算机数据库获取所有医院就诊记录。计算科特尔丘克指数（KI），并描述产前护理不足、充足或过度的特征。评估非计划就诊的人口统计学和心理社会预测因素。
结果
根据KI，共有50.5%的女性为充足使用者，19%为不足使用者。平均额外发生5次非计划就诊（标准差4.2；范围0 - 26）。近75%的参与者进行了非计划产科就诊，38%进行了2次或更多次非计划就诊。超重/肥胖、年轻女性、高症状困扰以及产前护理过度和不足的使用者在分娩前更有可能使用产房。
结论
孕期非计划护理很常见。
Zotero 插件