Oliver Lisa, Wood Michael, Frawley Ciaran, Almond Jacqueline, Larkins Sarah
MBBS, FRACGP, General Practitioner, Primary Health Services, Townsville Aboriginal and Islander Health Service, Townsville, QLD.
Aust Fam Physician. 2015 Apr;44(4):243-7.
Low uptake of postnatal care among Aboriginal and Torres Strait Islander women is a concern. The aim of this study was to ex-amine any associations with postnatal attendance by Aboriginal and Torres Strait Islander women.
A retrospective cohort study was conducted of 198 women who attended Townsville Aboriginal and Islander Health Service (TAIHS) for antenatal care between 1 January 2009 and 1 January 2011. Postnatal attendance and its relationship to demographic, behavioural, antenatal and intrapartum factors was assessed.
Of the women included in the study, 48.0% (95/198) returned to TAIHS for postnatal care. A statistically significant positive association between antenatal and postnatal attendance was found using multivariate analysis (P DISCUSSION: Strategies are needed to improve postnatal attendance for Aboriginal and Torres Strait Islander women, and strengthening attendance during the antenatal period may be an indirect way of facilitating this. Better postnatal follow-up will enhance the capacity for health services to deliver preventive care to this population.
原住民和托雷斯海峡岛民妇女产后护理利用率低令人担忧。本研究的目的是调查与原住民和托雷斯海峡岛民妇女产后就诊率相关的因素。
对198名在2009年1月1日至2011年1月1日期间到汤斯维尔原住民和岛民健康服务中心（TAIHS）进行产前护理的妇女进行了一项回顾性队列研究。评估了产后就诊情况及其与人口统计学、行为、产前和产时因素的关系。
在纳入研究的妇女中，48.0%（95/198）返回TAIHS进行产后护理。多变量分析发现产前和产后就诊之间存在统计学上显著的正相关（P 讨论：需要采取策略提高原住民和托雷斯海峡岛民妇女的产后就诊率，加强产前就诊可能是促进这一目标实现的间接途径。更好的产后随访将提高卫生服务机构为这一人群提供预防保健的能力。
