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孕期女性关系教育:MotherWise 对生育结局的影响。

Relationship education for women during pregnancy: The impact of MotherWise on birth outcomes.

机构信息

University of Denver, Denver, Colorado, USA.

Denver Health Hospital, Denver, Colorado, USA.

出版信息

Fam Process. 2022 Sep;61(3):1134-1143. doi: 10.1111/famp.12756. Epub 2022 Feb 11.

DOI:10.1111/famp.12756
PMID:35146754
Abstract

The field of relationship science has called for more research on the impact of relationship education on child outcomes, yet studies in this area remain sparse, particularly regarding maternal and infant health at birth. Research on group prenatal care demonstrates that individual-oriented group interventions have a positive impact on infant birth outcomes, suggesting the need to consider the impacts of other forms of group programming for women. The current study examined the impact of MotherWise, an individual-oriented relationship education and brief case management/coaching program for minority and low-income pregnant women, on birth outcomes. The study sample included 136 women who enrolled in a larger randomized controlled trial of MotherWise during early pregnancy. Although statistical power was limited due to the sample size and the effects were not outright significant at p < 0.05, results indicated that the effects of MotherWise on birth outcomes were small to moderate in size (0.23 for birthweight, 0.46 for preterm birth) and suggest important avenues for future tests of relationship education programs and their impacts on maternal and infant health. The current study suggests that relationship education during pregnancy could directly impact women's and infant's health.

摘要

关系科学领域呼吁更多研究关系教育对儿童结果的影响,但该领域的研究仍然很少,特别是关于出生时母婴健康的研究。关于小组产前护理的研究表明,以个体为导向的小组干预对婴儿的出生结果有积极影响,这表明需要考虑其他形式的妇女群体计划的影响。本研究探讨了 MotherWise 对出生结果的影响,MotherWise 是一项针对少数族裔和低收入孕妇的以个体为导向的关系教育和简短案例管理/辅导计划。研究样本包括 136 名在妊娠早期参加 MotherWise 更大规模随机对照试验的女性。尽管由于样本量小,统计能力有限,且效果在 p<0.05 时并不显著,但结果表明,MotherWise 对出生结果的影响在中等至小(体重 0.23,早产 0.46),这表明未来对关系教育计划及其对母婴健康影响的测试有重要途径。本研究表明,怀孕期间的关系教育可能会直接影响妇女和婴儿的健康。

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