Lewallen Lynne Porter, Jarrett-Pulliam Cindy, Dixon Kelly Herger
School of Nursing, the University of North Carolina at Greensboro, Greensboro, North Carolina.
J Prim Care Community Health. 2010 Oct 1;1(3):168-72. doi: 10.1177/2150131910378526.
Health care providers face many challenges when providing prenatal care. This article reports on a program called Prenatal Care: the Beginning of a Lifetime (PCBL), to implement standardized prenatal care in central North Carolina. The purpose of this pilot study was to determine if there were differences in patient outcomes between a control group and 3 groups (A, B, and C) of increasing levels of intervention in standardized prenatal care. A total of 150 patients were enrolled and followed through delivery. There were no significant differences between the groups in cigarette smoking status, weight gain, genetic screening, sexually transmitted infection screening, diabetes screening, domestic violence assessment, 17P candidacy assessment, gestational age at delivery, or infant birth weight. However, a significant difference was found in depression screening. An association between intervention group membership and likelihood of being screened for depression was found in each trimester. As the level of intervention increased, the number of participants screened for depression increased significantly.
医疗保健提供者在提供产前护理时面临许多挑战。本文报道了一个名为“产前护理：一生的开端”（PCBL）的项目，该项目在北卡罗来纳州中部实施标准化产前护理。这项试点研究的目的是确定在标准化产前护理中，对照组与干预水平不断提高的三组（A组、B组和C组）之间在患者结局方面是否存在差异。共有150名患者入组并随访至分娩。各组在吸烟状况、体重增加、基因筛查、性传播感染筛查、糖尿病筛查、家庭暴力评估、17P候选评估、分娩时的孕周或婴儿出生体重方面均无显著差异。然而，在抑郁筛查方面发现了显著差异。在每个孕期都发现干预组成员身份与接受抑郁筛查的可能性之间存在关联。随着干预水平的提高，接受抑郁筛查的参与者数量显著增加。
