青春期孕妇的健康行为及其对母婴和新生儿结局的影响：一项混合方法研究方案。

Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes: a mixed method study protocol.

机构信息

Students' Research Committee, Tabriz University of Medical sciences, Tabriz, Iran.

Women Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Reprod Health. 2019 Apr 25;16(1):45. doi: 10.1186/s12978-019-0719-4.

DOI:10.1186/s12978-019-0719-4

PMID:31023375

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6485063/

Abstract

BACKGROUND

Considering that individuals' health practices can affect the health of both mothers and babies, this study is designed to: (a) assess adolescent pregnant women's health practices and their relationship with maternal, fetal, and neonatal outcomes; (b) explore the perception of adolescent pregnant women about their own health practices; and (c) recommend some strategies to improve adolescent pregnant women's health practices during pregnancy.

METHODS/DESIGN: This mixed-method study with the sequential explanatory design has two phases. The first phase (quantitative phase) is a prospective study to assess the adolescent pregnant women's health practices and its relationship with maternal, fetal, and neonatal outcomes who live in Tehran, the capital city of Iran. A cluster sampling method will be used to select 316 adolescent pregnant women who visit health centers in Tehran. The second phase is a qualitative study designed to explore the adolescent pregnant women's perception of important aspects and factors of health practices that can affect their health outcomes. In this phase, purposive sampling and in-depth individual interviews will be conducted for data collection. The conventional content analysis approach will be employed for data analysis. In addition to literature review and nominal group technique, the findings of the qualitative and quantitative phases, will be used to recommend some strategies to support adolescent pregnant women to improve their health practices during pregnancy.

DISCUSSION

This is the first study looking into health practices in adolescent pregnant women which will be performed via a mixed-method approach, aiming to develop health practices improvement strategies. It is worth noting that there is no strategic guideline in Iran's health system for improvement of health practices of adolescents. Therefore, it is hoped that the strategy proposed in the current study can enhance health practices of adolescents during pregnancy and ultimately improve their pregnancy and childbirth outcomes.

ETHICAL CODE

IR.TBZMED.REC.1397.670.

摘要

背景

考虑到个体的健康行为会影响母婴健康，本研究旨在：（a）评估青少年孕妇的健康行为及其与母婴和新生儿结局的关系；（b）探索青少年孕妇对自身健康行为的认知；（c）提出一些策略，以改善青少年孕妇在怀孕期间的健康行为。

方法/设计：这是一项混合方法研究，采用顺序解释设计，分为两个阶段。第一阶段（定量阶段）是一项前瞻性研究，旨在评估居住在伊朗首都德黑兰的青少年孕妇的健康行为及其与母婴和新生儿结局的关系。采用聚类抽样法选取 316 名在德黑兰卫生中心就诊的青少年孕妇。第二阶段是一项定性研究，旨在探索青少年孕妇对影响其健康结局的重要健康行为方面和因素的认知。在这一阶段，将采用目的抽样和深入的个体访谈进行数据收集。采用常规内容分析法进行数据分析。除了文献回顾和名义群体技术外，还将综合定性和定量阶段的研究结果，提出一些支持青少年孕妇改善怀孕期间健康行为的策略。