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意大利孕妇对妊娠检查和妊娠护理的看法:是照顾者更重要还是护理更重要?

Perspectives of Italian pregnant women on pregnancy examinations and pregnancy care: is the caregiver more important than the care?

机构信息

.

Department of Gynecological, Obstetrical, and Urological Sciences. "Sapienza" University of Rome..

出版信息

Acta Biomed. 2021 Mar 31;92(S2):e2021014. doi: 10.23750/abm.v92iS2.11361.

Abstract

AIM

Assessing awareness of Italian low-risk pregnant patients on low-risk pregnancy care and what do they feel about their own pregnancy.

METHODS

A questionnaire was administered to 382 low-risk pregnant women. This questionnaire assessed general knowledge of low-risk pregnancy, low-risk pregnancy care, and how much patients rated ten topics of low-risk pregnancy care. It would be expected that the knowledge of each topic would associates with the patient's perceived importance of that topic.

RESULTS

Poor knowledge of pregnancy care was proven. Patients seem to incorrectly overrate vaginal examinations and obstetric and gynecologist-led care, while they attribute appropriate importance to midwife-led care. The more examinations performed (vaginal examinations, sonographic checks, cardiotocographies), the higher their rating.

CONCLUSIONS

In Italy, expectations of pregnant women about their own pregnancy are incorrectly trusted in the obstetrics and gynecologists. Both poor knowledge of pregnancy care and cultural perspectives on the birth process amongst Italian people explain the finding. Referring low-risk pregnant women to midwives would help them to rate more the care than the caregiver.

摘要

目的

评估意大利低危孕妇对低危妊娠护理的认知程度,以及她们对自己妊娠的感受。

方法

对 382 名低危孕妇进行问卷调查。该问卷评估了低危妊娠的一般知识、低危妊娠护理,以及患者对低危妊娠护理的十个主题的重视程度。预计每个主题的知识都与患者对该主题的重视程度相关。

结果

研究证明,孕妇对妊娠护理的知识匮乏。患者似乎错误地高估了阴道检查和产科医生主导的护理,而对助产士主导的护理给予了适当的重视。进行的检查越多(阴道检查、超声检查、胎心监护),她们的评分就越高。

结论

在意大利,孕妇对自己妊娠的期望被产科医生错误地信任。对妊娠护理的知识匮乏以及意大利人对分娩过程的文化观念解释了这一发现。将低危孕妇转介给助产士将有助于她们对护理的评价高于对护理人员的评价。

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Obstetric education and neonatal resuscitation at birth: an Italian survey.产科教育和新生儿复苏:意大利的一项调查。
J Matern Fetal Neonatal Med. 2022 Nov;35(21):4060-4064. doi: 10.1080/14767058.2020.1846701. Epub 2020 Nov 17.
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Antenatal cardiotocography for fetal assessment.用于胎儿评估的产前胎心监护
Cochrane Database Syst Rev. 2015 Sep 12;2015(9):CD007863. doi: 10.1002/14651858.CD007863.pub4.

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