澳大利亚妇女对孕产期保健的经验和看法:一项定性描述性研究。

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Sarmitha Kodavaluru, Isini Appuhamy Mudiyanselage, Danielle Mazza, Sharon James
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引用次数: 0

摘要

背景:孕间期(两次怀孕之间的间隔时间)是改善妇女、婴儿和后续妊娠健康状况的一个机会。孕产期保健包括对先前妊娠结果的评估、孕产妇风险因素的管理、关于最佳怀孕间隔的建议以及产后避孕措施的提供。然而,孕产期保健的提供并不一致,对消费者观点的了解也很有限。本研究旨在描述澳大利亚妇女对孕产期保健的看法和经验:2022 年 7 月,对至少生育过一个孩子并打算再生育一个孩子的育龄妇女进行了半结构式定性描述访谈研究。我们进行了反思性主题分析,并根据定性研究的报告标准撰写了本研究报告:从 15 名参与者中,分析确定了两大主题:(1)妇女缺乏对孕产期保健服务的参与;(2)获得孕产期保健服务的困难。所有参与者都不熟悉孕产期保健术语,但大多数人认为这是一种独特的保健需求,主要是在初级医疗保健机构获得。参与者希望医疗保健专业人员就母乳喂养、产后护理和降低生活方式风险等问题提供进一步支持。孕产期保健的可用性和内容被认为是不一致的、无效的,而且是随机提供的。参与者指出,有必要提高消费者和医疗保健专业人员对孕产期保健的认识,加强教育,并提供以妇女为中心的持续保健服务:结论:妇女和医疗保健专业人员需要提高孕产期保健意识,以更好地满足妇女在这一生命阶段的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Australian women's experiences and perceptions of interconception care: a qualitative descriptive study.

Background: Interconception, the time between pregnancies, is an opportunity to improve the health outcomes of women, infants and subsequent pregnancies. Interconception care involves the assessment of previous pregnancy outcomes, management of maternal risk factors, advice regarding optimal pregnancy spacing, and postpartum contraception provision. However, there is no consistent provision of interconception care, and limited understanding of consumer perspectives. This study aims to describe Australian women's perceptions and experiences of interconception care.

Methods: A qualitative descriptive semi-structured interview study was undertaken in July 2022 with women of reproductive age who had given birth to at least one child with intention to have another child. Reflexive thematic analysis was conducted and the standards for reporting qualitative research informed the writing of this study.

Results: From 15 participants, analysis identified two major themes: (1) women's lack of engagement with interconception care services; and (2) difficulties accessing interconception care. All participants were unfamiliar with interconception terminology, but most perceived it as a distinct care need, largely accessed in primary healthcare settings. Participants wanted further support to be initiated by healthcare professionals about issues such as breastfeeding, postpartum care and lifestyle risk reduction. Interconception care availability and content was perceived as inconsistent, ineffective and provided opportunistically. Participants outlined the need for improved consumer and healthcare professional interconception care awareness, education, and woman-centred continuity of care.

Conclusions: Interconception care awareness is needed by women and healthcare professionals to better meet the needs of women during this life stage.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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