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30分钟冲刺:认识分娩期早产咨询的局限性

The 30-Minute Sprint: Recognizing Intrapartum Prematurity Counseling Limitations.

作者信息

Georgescu Abigail, Muthusamy Anbu, Basir Mir A

机构信息

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.

Department of Pediatrics, Baylor Scott & White Medical Center, Temple, Texas, United Sates.

出版信息

J Pediatr Intensive Care. 2021 Feb 19;11(4):282-286. doi: 10.1055/s-0041-1724096. eCollection 2022 Dec.

DOI:10.1055/s-0041-1724096
PMID:36388069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9649285/
Abstract

Describe the characteristics and content of intrapartum counseling provided to women hospitalized for premature birth between 23 and 34 weeks' gestation age (GA). The study was conducted between April and December 2009 in two teaching hospitals with labor and delivery units and level 3 neonatal intensive care units. Counselors completed a postcounseling survey. From 60 sessions, 46 surveys were collected. The median counseling duration was 30 minutes; this was not associated with gestational age. The support-person was not present for most (57%) counseling sessions. There was a positive correlation (  = 0.001) between the number of maternal questions and her education. There was no difference in counseling content across the 23 to 34 weeks' GA regarding delivery room care, physical/mental disability, and vision problems. This study of characteristics and content of premature birth counseling for birth between 23 and 34 weeks' GA found that the duration of most sessions is 30 minutes; the father of the baby is not present during counseling for most premature births, and the topics discussed by counselors are fairly similar and extensive irrespective of the GA. These findings highlight the existing contrast between the recommended counseling practices and the actual practice reported by counselors.

摘要

描述为妊娠23至34周(GA)因早产住院的女性提供的分娩期咨询的特点和内容。该研究于2009年4月至12月在两家设有产房和三级新生儿重症监护病房的教学医院进行。咨询人员完成了咨询后调查。共收集到60次咨询中的46份调查问卷。咨询的中位时长为30分钟;这与孕周无关。大多数(57%)咨询环节中陪伴人员未到场。产妇提问的数量与其受教育程度呈正相关(P = 0.001)。在23至34周的孕周范围内,关于产房护理、身体/精神残疾以及视力问题的咨询内容没有差异。这项针对妊娠23至34周早产咨询的特点和内容的研究发现,大多数咨询环节时长为30分钟;大多数早产咨询时婴儿父亲不在场,并且无论孕周如何,咨询人员讨论的话题都相当相似且广泛。这些发现凸显了推荐的咨询做法与咨询人员报告的实际做法之间存在的差异。

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