Moniz Michelle H, O'Connell Lauren K, Kauffman Anna Daly, Singer Dianne C, Clark Sarah J, Davis Matthew M
Robert Wood Johnson Foundation Clinical Scholars®, University of Michigan, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI, 48109-5276, USA.
Department of Obstetrics and Gynecology, University of Michigan, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI, 48109-5276, USA.
Matern Child Health J. 2016 Feb;20(2):298-305. doi: 10.1007/s10995-015-1829-4.
To characterize patient preferences about parenting preparation during pregnancy and the role of healthcare providers.
A nationally representative, cross-sectional survey was administered to parents of children 0-3 years old. Respondents (N = 459 non-institutionalized US adults from the GfK Knowledge Panel®) completed an online survey about parenting preparation (response rate = 61.2 %). Primary outcomes were perceived importance of parenting, regret about opportunities to prepare for parenting, acceptability of parenting support from healthcare workers, and preferred healthcare setting for perinatal parenting support. Statistical analyses included descriptive statistics, Chi square analyses and logistic regression.
A majority of respondents (87.6 %, 95 % CI 83.3-90.8) believed that parenting had an equal or greater effect on early childhood behavior than the child's personality. Overall, 68.7 % (63.5-73.5 %) wished there were more opportunities during pregnancy to prepare for parenting, and a large majority (89.2, 84.9-92.4 %) believed that it would be helpful to receive parenting information from healthcare providers during pregnancy, with no differences across demographic groups. The preferred clinical encounters for receiving parenting education were at "a visit with my ObGyn/midwife" during pregnancy (58.2, 52.5-63.7 %) and at "a visit with my child's doctor/nurse practitioner" during 0-2 months postpartum (60.7, 55.0-66.2 %).
A majority of US parents of young children express interest in receiving parenting support at perinatal healthcare visits. Preferences for parenting support at prenatal visits during pregnancy and at pediatric visits in the immediate postpartum period should guide clinicians, community-based outreach organizations, and governmental stakeholders seeking to design and evaluate parenting preparation interventions.
描述患者对于孕期育儿准备的偏好以及医疗服务提供者的作用。
对0至3岁儿童的父母进行了一项具有全国代表性的横断面调查。受访者（来自GfK Knowledge Panel®的459名非机构化美国成年人）完成了一项关于育儿准备的在线调查（回复率 = 61.2%）。主要结果包括对育儿的感知重要性、对育儿准备机会的遗憾、对医护人员育儿支持的可接受性，以及围产期育儿支持的首选医疗环境。统计分析包括描述性统计、卡方分析和逻辑回归。
大多数受访者（87.6%，95%置信区间83.3 - 90.8）认为育儿对幼儿行为的影响与孩子的个性相当或更大。总体而言，68.7%（63.5 - 73.5%）希望孕期有更多机会为育儿做准备，绝大多数（89.2%，84.9 - 92.4%）认为孕期从医疗服务提供者那里获得育儿信息会有帮助，不同人口统计学群体之间没有差异。接受育儿教育的首选临床接触是孕期“与我的妇产科医生/助产士就诊”时（58.2%，52.5 - 63.7%）以及产后0至2个月“与我孩子的医生/执业护士就诊”时（60.7%，55.0 - 66.2%）。
大多数美国幼儿父母表示有兴趣在围产期医疗就诊时获得育儿支持。孕期产前检查和产后即刻儿科就诊时对育儿支持的偏好应指导临床医生、社区外展组织和政府利益相关者设计和评估育儿准备干预措施。
