Fryer Kimberly, Reid Chinyere N, Cabral Naciely, Marshall Jennifer, Menon Usha
Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, 6 Floor, Tampa, FL 33606, USA.
University of South Florida College of Public Health, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USA.
Int J MCH AIDS. 2023;12(1):e622. doi: 10.21106/ijma.622. Epub 2023 Apr 28.
High-quality prenatal care promotes adequate care throughout pregnancy by increasing patients' desires to return for follow-up visits. Almost 15% of women in the United States receive inadequate prenatal care, with 6% receiving late or no prenatal care. Only 63% of pregnant women in Florida receive adequate prenatal care, and little is known about their perceptions of high-quality prenatal care. Therefore, the objective of this study was to assess women's perceptions of the quality of their prenatal care and to describe their preferences for seeking prenatal care that meets their needs.
From April to December 2019, a qualitative study was conducted with postpartum women ( = 55) who received no or late prenatal care and delivered in Tampa, Florida, USA. Eligible women completed an open-ended qualitative survey and a semi-structured in-depth interview. The interview contextualized the factors influencing prenatal care quality perceptions. The qualitative data analysis was based on Donabedian's quality of care model.
The qualitative data analysis revealed three key themes about women's perceptions and preferences for prenatal care that meets their needs. First, clinical care processes included provision of health education and medical assessments. Second, structural conditions included language preferences, clinic availability, and the presence of ancillary staff. Finally, interpersonal communication encompassed interactions with providers and continuity of care. Overall, participants desired patient-centered care and care that was informative, tailored to their needs, and worked within the constraints of their daily lives.
Women seeking and receiving prenatal care prefer a welcoming, patient-centered health care environment. These findings should prompt health care providers and organizations to improve existing prenatal care models and develop new prenatal care models that provide early, accessible, and high-quality prenatal care to a diverse population of maternity patients.
高质量的产前护理通过增强患者复诊的意愿，促进整个孕期的充分护理。在美国，近15%的女性接受的产前护理不足，其中6%接受的是晚期或无产前护理。在佛罗里达州，只有63%的孕妇接受了充分的产前护理，而对于她们对高质量产前护理的看法却知之甚少。因此，本研究的目的是评估女性对其产前护理质量的看法，并描述她们对寻求满足自身需求的产前护理的偏好。
2019年4月至12月，对在美国佛罗里达州坦帕市分娩、未接受或接受晚期产前护理的产后女性（n = 55）进行了一项定性研究。符合条件的女性完成了一份开放式定性调查问卷和一次半结构化深度访谈。访谈将影响产前护理质量认知的因素置于具体情境中。定性数据分析基于多纳贝迪安的护理质量模型。
定性数据分析揭示了关于女性对满足其需求的产前护理的看法和偏好的三个关键主题。首先，临床护理过程包括提供健康教育和医学评估。其次，结构条件包括语言偏好、诊所可及性以及辅助人员的配备。最后，人际沟通涵盖与医护人员的互动和护理的连续性。总体而言，参与者希望获得以患者为中心的护理，这种护理信息丰富、符合其需求且能在其日常生活的限制范围内发挥作用。
寻求并接受产前护理的女性更喜欢一个温馨、以患者为中心的医疗保健环境。这些发现应促使医疗保健提供者和机构改进现有的产前护理模式，并开发新的产前护理模式，为不同人群的孕产妇患者提供早期、可及且高质量的产前护理。
