Identifying common conditions of pregnancy for women, including women from culturally and linguistically diverse backgrounds, at an Australian hospital: A survey

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-10-01 DOI:10.1016/j.midw.2024.104195

Kate M. Levett , Janice Louis , Kerry L. Sutcliffe , Gisselle Gallego

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引用次数: 0

Abstract

Problem

Research that explores the prevalence and range of treatments sought for common conditions of pregnancy is limited, particularly for culturally and linguistically diverse (CALD) women.

Background

During pregnancy, physical and psychological conditions affect participation in the home, workplace, and community. However, treatment options may be limited, particularly for CALD women.

Aim

To establish the prevalence of physical and psychological conditions experienced during pregnancy, and ascertain treatments options sought by women attending a hospital in a multicultural area of Sydney (Australia), including medical, allied health and complementary medicines.

Methods

A cross-sectional survey of pregnant women attending an outpatient antenatal clinic (July-December 2019). The survey was conducted in the most common language groups, English, Arabic and traditional Chinese (inclusive of Cantonese and Mandarin). Univariate and bivariate analysis was conducted.

Findings

A total of 154 women participated. CALD women most frequently reported lower-back pain (41.5 %), constipation (34 %), nausea (28 %), and anxiety (7.5 %) . English-speaking women reported lower-back pain (43.5 %), difficulty sleeping (37 %), severe tiredness (35 %), and anxiety (15.8 %), and were more likely to seek treatment (p < 0.01). Practitioners most consulted were massage therapists, physiotherapists, community nurses and counsellors. Doctors were least consulted overall.

Conclusions

Pregnant women most commonly reported lower-back pain, however conditions were reported and treated less frequently by CALD women, including psychological conditions. It is vital that women can access hospital-based treatment for common physical and psychological conditions of pregnancy. The implication for clinicians is to establish routine asking, adequate care provision and referral to culturally safe and appropriate services.

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确定澳大利亚一家医院妇女（包括来自不同文化和语言背景的妇女）的常见妊娠状况：一项调查。

问题：探索孕期常见疾病的患病率和治疗范围的研究十分有限，尤其是针对文化和语言多样性（CALD）妇女的研究：背景：在怀孕期间，身体和心理状况会影响对家庭、工作场所和社区的参与。目的：在澳大利亚悉尼多元文化区的一家医院就诊时，确定妊娠期间身体和心理状况的患病率，并确定就诊妇女寻求的治疗方案，包括医疗、联合保健和补充药物：对在产前门诊就诊的孕妇进行横断面调查（2019 年 7 月至 12 月）。调查使用最常见的语言群，即英语、阿拉伯语和繁体中文（包括粤语和普通话）。调查进行了单变量和双变量分析：共有 154 名妇女参与了调查。CALD 妇女最常报告的症状是腰背痛（41.5%）、便秘（34%）、恶心（28%）和焦虑（7.5%）。讲英语的妇女报告腰背痛（43.5%）、睡眠困难（37%）、严重疲倦（35%）和焦虑（15.8%），并且更有可能寻求治疗（p < 0.01）。咨询最多的医生是按摩师、物理治疗师、社区护士和辅导员。结论：孕妇最常报告腰背痛：孕妇最常报告腰背疼痛，但 CALD 妇女报告和治疗的疾病较少，包括心理疾病。对于怀孕期间常见的生理和心理问题，孕妇能够得到医院的治疗至关重要。这对临床医生的意义在于建立常规询问、提供充分的护理和转诊至文化安全和适当的服务机构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.