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哥伦比亚的人性化分娩:患病率及相关因素。

Humanized childbirth in Colombia: Prevalence and associated factors.

作者信息

Ruiz-Rodríguez Myriam, Pérez-Hernández Arlin Martha Bibiana, Cáceres-Manrique Flor de María, Mejía-Merino Cristina María, De La Cruz Bermúdez-Quintana Elba María, Alfaro-Benavides Darlynne Xiomara, Hidalgo-Erazo Adrián Arcenio, Camargo-Figuera Fabio Alberto

机构信息

Medicine School-Department of Public Health, Universidad Industrial de Santander, Bucaramanga, Colombia.

School of Medicine, Universidad El Bosque, Bogotá, Colombia.

出版信息

PLoS One. 2025 Jul 11;20(7):e0326766. doi: 10.1371/journal.pone.0326766. eCollection 2025.

DOI:10.1371/journal.pone.0326766
PMID:40644445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12250279/
Abstract

In several parts of the world, women are subjected to disrespectful and offensive treatment during childbirth. Humanized obstetrics or humanized childbirth has emerged as a response to this situation, and it refers to a model of comprehensive care for labor and childbirth that focuses on the respect and dignity of the woman. This study was aimed at estimating the prevalence and factors associated with humanized childbirth, as perceived by women in six major cities in Colombia. An analytical, multicenter, representative cross-sectional study was conducted in a random sample of six Colombian cities, including the country's capital. We included 1294 women who were over 14 years of age and who had an institution-assisted vaginal childbirth resulting in a live birth in 2018. The prevalence of humanized childbirth in the sample of participating cities was 32.9% (95% confidence interval, 30.4-35.5). The city of residence of the pregnant woman, the presence of health problems during pregnancy, attendance at an antenatal course, the sex of the attending professional, and the association between the involvement of an obstetrician-gynecologist and the occurrence of a humanized childbirth were examined. These results indicate the need to monitor compliance with existing regulations to ensure dignified, respectful, and humane care that prioritizes women.

摘要

在世界上的几个地区,妇女在分娩期间遭受无礼和冒犯性的待遇。人性化产科或人性化分娩应运而生,以应对这种情况,它指的是一种针对分娩的综合护理模式,注重女性的尊重和尊严。本研究旨在估计哥伦比亚六个主要城市的女性所感知的人性化分娩的患病率及相关因素。在包括该国首都在内的六个哥伦比亚城市的随机样本中进行了一项分析性、多中心、代表性横断面研究。我们纳入了1294名年龄超过14岁且在2018年通过机构辅助阴道分娩产下活婴的妇女。参与调查城市样本中人性化分娩的患病率为32.9%(95%置信区间,30.4 - 35.5)。研究了孕妇的居住城市、孕期是否存在健康问题、是否参加产前课程、主治医护人员的性别,以及妇产科医生的参与与人性化分娩发生之间的关联。这些结果表明有必要监测现行法规的遵守情况,以确保提供优先考虑女性的有尊严、受尊重和人道的护理。

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本文引用的文献

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Respectful Maternity Care : A Systematic Review.尊重产妇护理:系统评价。
Ann Intern Med. 2024 Jan;177(1):50-64. doi: 10.7326/M23-2676. Epub 2024 Jan 2.
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Evolution of cesarean sections in Colombia and its association with the legal standing of the institutions where deliveries take place.哥伦比亚剖宫产术的演变及其与分娩机构法律地位的关联。
Rev Colomb Obstet Ginecol. 2023 Mar 30;74(1):15-27. doi: 10.18597/rcog.3901.
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Midwifery. 2022 Sep;112:103403. doi: 10.1016/j.midw.2022.103403. Epub 2022 Jun 9.
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[Obstetric violence in Chile: women's perceptions and differences among health centersViolência obstétrica no Chile: percepção das mulheres e diferenças entre os serviços de saúde].[智利的产科暴力:女性的认知及各健康中心之间的差异 智利的产科暴力:女性的认知及各医疗服务机构之间的差异]
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PLoS One. 2021 Oct 11;16(10):e0257542. doi: 10.1371/journal.pone.0257542. eCollection 2021.
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[Perception of humanized childbirth in patients in the puerperium period].
Rev Med Inst Mex Seguro Soc. 2020 May 18;58(3):258-264. doi: 10.24875/RMIMSS.M20000029.
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Understanding disparities in person-centred maternity care: the potential role of provider implicit and explicit bias.理解以产妇为中心的护理中的差异:提供者隐性和显性偏见的潜在作用。
Health Policy Plan. 2021 Apr 21;36(3):298-311. doi: 10.1093/heapol/czaa190.
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Respectful Maternity Care and Associated Factors Among Women Who Attended Delivery Services in Referral Hospitals in Northwest Amhara, Ethiopia: A Cross-Sectional Study.埃塞俄比亚阿姆哈拉西北部转诊医院中接受分娩服务的女性的尊重式产科护理及相关因素:一项横断面研究
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10
Stakeholders' perceptions of humanized birth practices and obstetric violence in Chile: A scoping review.利益相关者对智利人性化分娩实践和产科暴力的看法:范围综述。
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