实施健康教育计划的专业人员的效果：围产期结局。

Effectiveness of the professional who carries out the health education program: perinatal outcomes.

机构信息

Hospital San Juan de la Cruz, Ubeda, Spain ; Department of Health Sciences, University of Jaén, Jaén, Spain ; Biomedical Research Centre Network for Epidemiology and Public Health, Ministry of Health, Institute of Health Carlos III, Madrid, Spain.

Department of Health Sciences, University of Jaén, Jaén, Spain ; Biomedical Research Centre Network for Epidemiology and Public Health, Ministry of Health, Institute of Health Carlos III, Madrid, Spain.

出版信息

Int J Womens Health. 2014 Mar 19;6:329-34. doi: 10.2147/IJWH.S59126. eCollection 2014.

DOI:10.2147/IJWH.S59126

PMID:24672260

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3964154/

Abstract

BACKGROUND

The purpose of this study was to determine whether a maternal education program conducted by midwives achieves better results in regard to maternal and newborn health than when the program is conducted by other health professionals.

METHODS

Five hundred and twenty primiparous women attending four (two university) public hospitals in southern Spain in 2011 were recruited to participate in this prospective cohort study. Data on sociodemographic and obstetric variables and characteristics of newborns were collected by interviews and from clinical charts. Crude and logistic regression adjusted odds ratios (aORs) and confidence intervals (CIs) were estimated.

RESULTS

A midwife was in charge of education for 75.4% of the 354 women who attended maternal education programs. Midwife-conducted programs had significantly more women attending more than three sessions than the programs conducted by other health professionals (aOR 2.85, 95% CI 1.60-5.11). Midwives achieved more active participation from mothers during delivery (aOR 1.96, 95% CI 1.15-3.33), more early skin-to-skin contact between the mother and newborn (aOR 1.79, 95% CI 1.01-3.23), more early breastfeeding (aOR 2.08, 95% CI 1.18-3.70), and fewer newborns with low birth weight (aOR 0.14, 95% CI 0.03-0.65) compared with other health professionals.

CONCLUSION

Midwives achieve better results than other health professionals in regard to the health of the mother and her newborn when they are in charge of the maternal education program.

摘要

背景

本研究旨在确定由助产士实施的孕产妇教育计划在孕产妇和新生儿健康方面是否比其他卫生专业人员实施的计划效果更好。

方法

2011 年，我们招募了 520 名在西班牙南部四家（两所大学）公立医院就诊的初产妇参与这项前瞻性队列研究。通过访谈和临床病历收集了社会人口统计学和产科变量以及新生儿特征的数据。采用粗比值比（OR）和 95%置信区间（CI）对数据进行了逻辑回归调整。

结果

在 354 名参加孕产妇教育计划的女性中，75.4%由助产士负责教育。与其他卫生专业人员实施的方案相比，助产士实施的方案中有更多的女性参加了三次以上的课程（调整后比值比[aOR]为 2.85，95%CI 为 1.60-5.11）。助产士在分娩过程中让母亲更积极地参与（aOR 为 1.96，95%CI 为 1.15-3.33），更早地实现母婴皮肤接触（aOR 为 1.79，95%CI 为 1.01-3.23），更早开始母乳喂养（aOR 为 2.08，95%CI 为 1.18-3.70），新生儿低体重的发生率更低（aOR 为 0.14，95%CI 为 0.03-0.65）。