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感染艾滋病毒的孕妇的分娩经历:范围综述

The Childbirth Experiences of Pregnant Women Living with HIV Virus: Scoping Review.

作者信息

de Azevedo Andréa Paula, de Rezende Filho Jorge Fonte, Hofer Cristina Barroso, Rego Francisca

机构信息

Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.

Institute of Childcare and Pediatrics Martagão Gesteira, Federal University of Rio de Janeiro, Rua Bruno Lobo, 50, Rio de Janeiro 21941-912, Brazil.

出版信息

Children (Basel). 2024 Jun 18;11(6):743. doi: 10.3390/children11060743.

DOI:10.3390/children11060743
PMID:38929322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11202184/
Abstract

OBJECTIVE

Understand and explore the childbirth experiences of pregnant women living with HIV (PWLWHIV). With the advent of several measures to decrease the intrapartum HIV infection and a strong emphasis on the humanization of childbirth, there is a growing focus on providing positive childbirth experiences for pregnant women. Indeed, a positive childbirth experience is even more important in the group of pregnant women living with HIV (PWLWHIV) as it plays a pivotal role in enhancing the mother's adherence to her postpartum treatment and the newborn's engagement in Infectious Disease services.

METHODOLOGY

A scoping review was conducted. Searches were performed on databases, such as MEDLINE, PUBMED, WEB OF SCIENCE and Cochrane Library, using the following keywords: childbirth, birth, parturition, HIV, humaniz*, perceived safety, experience, maternal satisfaction, healthcare professional and midwi*. Articles meeting pre-established criteria were selected within the timeframe of 2013 to 2023 for inclusion in the review.

RESULTS

Out of a total of 2,340,391 articles, 4 were chosen based on our defined criteria. Three primary themes emerged from the selected articles: the assessment of childbirth experience quality, vulnerability and autonomy.

CONCLUSIONS

The four studies identified had a small sample size and were not adequately conducted with a specific focus on studying the childbirth experience of pregnant women living with HIV (PWLWHIV). This scoping review revealed a gap in the existing literature, indicating a need for further research and clarification in the identified area.

摘要

目的

了解并探究感染艾滋病毒的孕妇(PWLWHIV)的分娩经历。随着多项降低分娩期艾滋病毒感染措施的出现以及对分娩人性化的大力强调,为孕妇提供积极的分娩体验日益受到关注。事实上,积极的分娩体验在感染艾滋病毒的孕妇群体(PWLWHIV)中更为重要,因为它在增强母亲对产后治疗的依从性以及新生儿参与传染病服务方面起着关键作用。

方法

进行了一项范围综述。使用以下关键词在MEDLINE、PUBMED、科学网和考科蓝图书馆等数据库中进行检索:分娩、生产、分娩、艾滋病毒、人性化*、感知安全、体验、产妇满意度、医疗保健专业人员和助产士*。在2013年至2023年的时间范围内,选择符合预先设定标准的文章纳入综述。

结果

在总共2340391篇文章中,根据我们定义的标准选择了4篇。所选文章中出现了三个主要主题:分娩体验质量评估、脆弱性和自主性。

结论

确定的四项研究样本量较小,且在专门研究感染艾滋病毒的孕妇(PWLWHIV)的分娩体验方面开展得不够充分。这项范围综述揭示了现有文献中的一个空白,表明在所确定的领域需要进一步研究和阐明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0c/11202184/af8829623ba1/children-11-00743-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0c/11202184/af8829623ba1/children-11-00743-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0c/11202184/af8829623ba1/children-11-00743-g001.jpg

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Soc Sci Med. 2022 Nov;312:115365. doi: 10.1016/j.socscimed.2022.115365. Epub 2022 Sep 14.
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Negative childbirth experience - what matters most? a register-based study of risk factors in three time periods during pregnancy.
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Rapid reviews and the methodological rigor of evidence synthesis: a JBI position statement.快速综述与证据综合的方法学严谨性:循证卫生保健国际协作组立场声明
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