Guimarães Mariana F, Rabelo Fernanda A, Figueiredo Israel
Departamento Materno-Infantil, Faculdade de Medicina, Hospital Universitário Antonio Pedro, Universidade Federal Fluminense, Niterói 24033-900, Brasil.
Int J Neonatal Screen. 2019 Jan 22;5(1):8. doi: 10.3390/ijns5010008. eCollection 2019 Mar.
To ascertain the degree of knowledge of postpartum women about important aspects related to the neonatal screening process and whether differences of opinion exist between those who deliver in low-complexity versus high-complexity health facilities (low-risk versus high-risk pregnancies, respectively).
This was a prospective, cross-sectional, questionnaire-based study. The sample consisted of postpartum women recruited from 2013 to 2015 at public maternity hospitals in the city of Niterói, Brazil. Participants were divided into two groups and completed a questionnaire consisting of Likert-scored items. Continuous variables were analyzed with the Mann-Whitney test, and categorical variables, with Fisher's test. A confirmatory factor analysis of participants' answers was performed.
Of 188 women enrolled, 54 (28.7%) had incomplete elementary education; 119 (62.2%) had attended more than six antenatal care visits. The mean age was 25.57 years. Nearly all women ( = 179, 95.2%) were roomed-in with their infants. Knowledge of neonatal screening was very similar in the high-complexity and low-complexity groups. Divergences were limited to items regarding the risks of neonatal screening.
The degree of knowledge among postpartum women was similar among high- and low-complexity facilities. Those who attended high-complexity facilities had longer hospital stays and greater adherence to ethical issues regarding neonatal screening.
确定产后女性对新生儿筛查过程相关重要方面的了解程度，以及在低复杂程度与高复杂程度医疗机构分娩的女性（分别为低风险与高风险妊娠）之间是否存在意见分歧。
这是一项基于问卷的前瞻性横断面研究。样本包括2013年至2015年在巴西尼泰罗伊市公立妇产医院招募的产后女性。参与者被分为两组，并完成了一份由李克特评分项目组成的问卷。连续变量采用曼-惠特尼检验进行分析，分类变量采用费舍尔检验进行分析。对参与者的回答进行了验证性因素分析。
在188名登记的女性中，54名（28.7%）小学教育未完成；119名（62.2%）进行了超过六次产前检查。平均年龄为25.57岁。几乎所有女性（n = 179，95.2%）都与婴儿同住一室。高复杂程度组和低复杂程度组对新生儿筛查的了解非常相似。分歧仅限于与新生儿筛查风险相关的项目。
高复杂程度和低复杂程度医疗机构中产后女性的知识水平相似。在高复杂程度医疗机构分娩的女性住院时间更长，并且对新生儿筛查的伦理问题依从性更高。
