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影响产前出血孕妇使用产科急诊服务的因素。

Factors affecting the use of emergency obstetric care among pregnant women with antenatal bleeding.

机构信息

Mersin Provincial Health Directorate, 112 Emergency Medical Services Unit, Mersin, Turkey.

出版信息

Midwifery. 2013 May;29(5):440-6. doi: 10.1016/j.midw.2012.02.008. Epub 2012 May 30.

DOI:10.1016/j.midw.2012.02.008
PMID:22652487
Abstract

OBJECTIVE

to investigate the factors that affect the use of emergency obstetric care services among pregnant women in Turkey with antenatal bleeding.

DESIGN

descriptive, cross-sectional study.

SETTING

Mersin Maternity and Child Hospital, Mersin, Turkey.

PARTICIPANTS

125 pregnant women who had been admitted to the emergency department for antenatal bleeding.

FINDINGS

advanced age, high level of education, lack of health insurance, receiving antenatal care, nuclear family structure and knowledge of the danger signs during pregnancy were found to affect the use of emergency obstetric care services among pregnant women with antenatal bleeding.

KEY CONCLUSIONS

delays in seeking emergency obstetric care among pregnant women with antenatal bleeding are due to the difficulties faced by women when deciding whether or not to seek health care. Access to health services and health institutions themselves do not cause any delay in terms of provision of emergency obstetric care to pregnant women with antenatal bleeding.

IMPLICATIONS FOR PRACTICE

pregnant women should be informed about the causes of antenatal bleeding, what to do in the case of bleeding, and the need to seek health care as soon as possible. In addition, midwives should inform families and pregnant women about the use of emergency medical services and the relevant procedures.

摘要

目的

调查影响土耳其产前出血孕妇使用急诊产科护理服务的因素。

设计

描述性、横断面研究。

地点

土耳其梅尔辛妇产医院。

参与者

125 名因产前出血而到急诊科就诊的孕妇。

结果

研究发现,高龄、高教育水平、缺乏医疗保险、接受产前护理、核心家庭结构以及对妊娠危险信号的了解,均会影响产前出血孕妇使用急诊产科护理服务。

主要结论

产前出血孕妇寻求急诊产科护理的延误是由于妇女在决定是否寻求医疗保健时面临的困难所致。在为产前出血孕妇提供急诊产科护理方面,获得卫生服务和卫生机构本身并不会造成任何延误。

实践意义

应向孕妇告知产前出血的原因、出血时应采取的措施以及尽快寻求医疗保健的必要性。此外,助产士应向家庭和孕妇告知紧急医疗服务的使用和相关程序。

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