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“肯定是对的,我在电视上看到过!”:一项关于热门电视节目中第三产程分娩操作的观察性研究

'It must be right, I saw it on TV!': An observational study of third stage birth practices in popular television programmes.

作者信息

Dawda Gati, Weeks Andrew D, Bewley Susan

机构信息

Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.

Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK.

出版信息

JRSM Open. 2023 Oct 19;14(10):20542704231205385. doi: 10.1177/20542704231205385. eCollection 2023 Oct.

DOI:10.1177/20542704231205385
PMID:37869445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10588410/
Abstract

OBJECTIVES

To examine modern media depictions of the third stage of birth in a selection of UK television representations.

DESIGN

Observational study of a sample of televised fictional and real births, audited against current National Institute of Health and Social Care Excellence (NICE) guidance.

SETTING

UK television channels BBC ( and ) and Channel 4 ().

PARTICIPANTS

87 births from 48 episodes, sampled from the three shows.

MAIN OUTCOME MEASURES

The primary outcome was the number of births where the cord was clamped at more than 1 min after birth. Secondary outcomes included place and type of birth, measures of dignity and paternal involvement.

RESULTS

Overall, the timing of cord clamping was clearly shown in 25/87 (29%) of births, of which only 4/25 (16%) occurred at more than 1 min in screen time. The place of birth and caesarean section (CS) rate changed according to the series perspective and era; graphic explicit images were shown, but these related to CS detail.

CONCLUSIONS

UK television shows have accurately depicted changes in place, culture and type of birth over the last century. They provide the public with a view of new rituals but an inaccurate picture of good quality care. Early cord clamping was shown in most births, even those set after 2014. No programme informed viewers about the safety aspects. When showing outdated practices, broadcasters have a public health duty to inform viewers that this is no longer recommended.

摘要

目的

在英国一系列电视节目中,研究现代媒体对第三产程的描绘。

设计

对一系列虚构和真实的电视分娩样本进行观察性研究,并对照当前国家卫生与社会照护优化研究所(NICE)的指南进行审核。

背景

英国电视频道BBC(和)以及第四频道()。

参与者

从三个节目中抽取的48集里的87例分娩。

主要观察指标

主要指标是出生后脐带结扎时间超过1分钟的分娩数量。次要指标包括分娩地点和类型、尊严措施以及父亲参与情况。

结果

总体而言,87例分娩中有25例(29%)清晰显示了脐带结扎时间,其中屏幕时间超过1分钟的仅有4例(16%)。分娩地点和剖宫产率根据剧集视角和时代有所变化;展示了清晰的图像,但这些与剖宫产细节有关。

结论

英国电视节目准确描绘了上个世纪分娩地点、文化和类型的变化。它们向公众展示了新的分娩仪式,但对优质护理的描绘并不准确。大多数分娩都显示了早期脐带结扎,即使是设定在2014年之后的那些分娩。没有节目向观众告知安全方面的信息。当展示过时的做法时,广播公司有公共卫生责任告知观众这不再被推荐。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b2/10588410/690217ec82b9/10.1177_20542704231205385-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b2/10588410/690217ec82b9/10.1177_20542704231205385-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b2/10588410/690217ec82b9/10.1177_20542704231205385-fig1.jpg

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