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打破产前护理中的沉默:胎儿运动和死产教育。

Breaking through the silence in antenatal care: Fetal movement and stillbirth education.

机构信息

University of South Australia, School of Nursing and Midwifery, Australia.

University of South Australia, School of Psychology, Social Work and Social Policy, City East Campus, 108 North Terrace, Adelaide, South Australia, 5001, Australia.

出版信息

Women Birth. 2020 Feb;33(1):77-85. doi: 10.1016/j.wombi.2019.02.004. Epub 2019 Feb 27.

DOI:10.1016/j.wombi.2019.02.004
PMID:30824375
Abstract

BACKGROUND

Fetal movements are a key indicator of fetal health. Research has established significant correlations between altered fetal activity and stillbirth. However, women are generally unaware of this relationship. Providing pregnant women with information about the importance of fetal movements could improve stillbirth rates. However, there are no consistent fetal movements awareness messages globally for pregnant women.

AIMS

This study aimed to explore the antenatal care experiences of Australian mothers who had recently had a live birth to determine their knowledge of fetal movements, the nature and source of that information.

METHODS

An online survey method was used for 428 women who had a live birth and received antenatal care in Australia. Women's knowledge of fetal movements, stillbirth risk, and the sources of this knowledge was explored.

FINDINGS

A large proportion of participants (84.6%; n=362) stated they had been informed by health care professionals of the importance of fetal movements during pregnancy. Open-ended responses indicate that fetal movements messages are often myth based. Awareness that stillbirth occurs was high (95.2%; n=398), although, 65% (n=272) were unable to identify the current incidence of stillbirth in Australia.

CONCLUSION

Women who received antenatal care have high-awareness of fetal movements, but the information they received was inconsistent. Participants knew stillbirth occurred but did not generally indicate they had obtained that knowledge from health care professionals. We recommend a consistent approach to fetal movements messaging throughout pregnancy which focuses on stillbirth prevention.

摘要

背景

胎儿运动是胎儿健康的一个关键指标。研究已经证实,胎儿活动的改变与死胎之间存在显著的相关性。然而,女性通常对此并不了解。向孕妇提供有关胎儿运动重要性的信息可能会降低死胎率。但是,全球范围内并没有针对孕妇的一致的胎儿运动意识信息。

目的

本研究旨在探讨澳大利亚近期分娩的母亲的产前护理经验,以了解她们对胎儿运动的了解程度、获取相关信息的途径和性质。

方法

采用在线调查方法对 428 名在澳大利亚接受过产前护理并分娩的女性进行了调查。调查了女性对胎儿运动、死产风险以及获取相关知识的来源的了解情况。

结果

很大一部分参与者(84.6%;n=362)表示,医疗保健专业人员曾告知她们在怀孕期间胎儿运动的重要性。开放性回答表明,胎儿运动的信息通常是基于神话的。尽管 95.2%(n=398)的参与者意识到死产的发生,但只有 65%(n=272)能够识别澳大利亚当前的死产发生率。

结论

接受过产前护理的女性对胎儿运动有很高的认识,但她们所获得的信息并不一致。参与者知道死产的发生,但通常并未表明他们从医疗保健专业人员那里获得了这方面的知识。我们建议在整个孕期采用一致的方法传递关于胎儿运动的信息,重点是预防死产。

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