针对贫困妇女的公私合营认证助产士孕产妇项目评估。
Evaluation of a public-private certified nurse-midwife maternity program for indigent women.
作者信息
Lenaway D, Koepsell T D, Vaughan T, van Belle G, Shy K, Cruz-Uribe F
机构信息
Boulder County Health Department, CO 80304, USA.
出版信息
Am J Public Health. 1998 Apr;88(4):675-9. doi: 10.2105/ajph.88.4.675.
OBJECTIVES
This study assessed the impact of a public-private certified nurse-midwife program on prenatal and delivery outcomes among medically indigent women.
METHODS
A population-based quasi-experimental design was used to compare 1 intervention county with 2 nonintervention counties.
RESULTS
The program significantly reduced the number of women who received no prenatal care and the risk of acquiring less than adequate prenatal care. Reductions in the proportion of infants born premature or with low birth-weights were of borderline significance. The use of induction and/or stimulation of labor was statistically elevated.
CONCLUSIONS
These results suggest that the intervention program was instrumental in reducing some, but not all, negative prenatal and delivery outcomes.
目的
本研究评估了一项公私合营的认证助产士项目对医疗贫困妇女产前及分娩结局的影响。
方法
采用基于人群的准实验设计，将1个干预县与2个非干预县进行比较。
结果
该项目显著减少了未接受产前护理的妇女数量以及获得不足产前护理的风险。早产或低出生体重婴儿比例的降低具有临界显著性。引产和/或催产的使用在统计学上有所增加。
结论
这些结果表明，干预项目有助于减少部分但并非全部不良的产前及分娩结局。
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