J Obstet Gynecol Neonatal Nurs. 2020 Jul;49(4):336-347. doi: 10.1016/j.jogn.2020.05.004. Epub 2020 Jun 16.
In a consensus study on birth settings in the United States, the National Academy of Sciences, Engineering, and Medicine concluded that childbirth outcomes are influenced by quality of care, access to services, and choices of women within the maternity health care system. The United States has one of the highest rates of maternal mortality among the most developed nations in the world, and outcomes are marked by disparities among racial and ethnic groups of women. However, recommendations for improving birth outcomes are limited by the lack of an evidence base related to the physical and psychological safety of women during childbirth. Nurses who care for pregnant women and their infants are dedicated to ensuring that safe, high-quality care is provided during every encounter. Therefore, they are uniquely positioned to conduct the research on the fundamental elements of safety, quality, and inequities in health care that is needed to improve the maternity care system and outcomes for women and infants.
在美国的一项关于分娩环境的共识研究中,美国国家科学院、工程院和医学院得出结论,分娩结果受到护理质量、服务可及性以及产妇保健系统内妇女选择的影响。美国是世界上最发达的国家中孕产妇死亡率最高的国家之一,其结果因妇女的种族和民族群体的差异而有所不同。然而,改善分娩结果的建议受到限制,因为缺乏与妇女分娩期间身体和心理安全相关的证据基础。护理孕妇及其婴儿的护士致力于确保在每次接触时都提供安全、高质量的护理。因此,他们是唯一能够开展关于安全、质量和医疗保健不公平的基本要素的研究的人,这些研究对于改善产妇保健系统和妇女及婴儿的结果是必要的。