一项评估剖宫产后寻求试产的患者经验的区域调查。

Christina Davidson, Caroline Haley Walker, Haleh Sangi-Haghpeykar
{"title":"一项评估剖宫产后寻求试产的患者经验的区域调查。","authors":"Christina Davidson,&nbsp;Caroline Haley Walker,&nbsp;Haleh Sangi-Haghpeykar","doi":"10.1080/14767058.2021.1938529","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate access to trial of labor after cesarean (TOLAC) in a large metropolitan city.</p><p><strong>Study design: </strong>In 2012, a public tertiary care hospital in Houston, TX promoted its TOLAC services on social media, resulting in a surge of self-referrals. In 2018, an electronic survey was distributed by email to 200 women who had previously contacted the hospital regarding TOLAC and posted on 2 local social media TOLAC sites. Women were asked to participate if they ever sought TOLAC in the Houston area. Data were analyzed for trends in patient experience seeking TOLAC and comparisons were made based on number of prior cesarean deliveries (CD) and race/ethnicity.</p><p><strong>Results: </strong>The survey was open for responses for 1 month, with 128 completed surveys by the end of the study time period. Of the respondents, most (64%) had 1 prior CD and identified as White (63%). Most (60%) of all women reported contacting ≥3 providers before finding one that offered TOLAC, with no difference reported for women with 1 vs 2 prior CD (<i>p</i> = .2). Over half (52%) reported their experience seeking TOLAC to be difficult with more difficulty noted by those with 2 vs 1 prior CD, (61.8% vs 42.7%,) but not statistically significant (<i>p</i> = .06). White women were more likely to report an easier experience seeking TOLAC compared to Black women (55.6% vs 30%, <i>p</i> = .04).Overall, 37% attempted TOLAC at the reference hospital. Black (50%) and Hispanic (68.2%) women were significantly more likely to have delivered at the reference hospital than White women (24%) (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Our results suggest that women seeking TOLAC have difficulty finding providers who offer the service. This may be especially true for Black and Hispanic women and women with >1 prior CD. Women may utilize social media forums for resources and recommendations and such platforms may represent an underutilized opportunity to identify regional TOLAC services.</p>","PeriodicalId":520807,"journal":{"name":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","volume":" ","pages":"7924-7928"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14767058.2021.1938529","citationCount":"2","resultStr":"{\"title\":\"A regional survey evaluating patient experience seeking trial of labor after cesarean.\",\"authors\":\"Christina Davidson,&nbsp;Caroline Haley Walker,&nbsp;Haleh Sangi-Haghpeykar\",\"doi\":\"10.1080/14767058.2021.1938529\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate access to trial of labor after cesarean (TOLAC) in a large metropolitan city.</p><p><strong>Study design: </strong>In 2012, a public tertiary care hospital in Houston, TX promoted its TOLAC services on social media, resulting in a surge of self-referrals. In 2018, an electronic survey was distributed by email to 200 women who had previously contacted the hospital regarding TOLAC and posted on 2 local social media TOLAC sites. Women were asked to participate if they ever sought TOLAC in the Houston area. Data were analyzed for trends in patient experience seeking TOLAC and comparisons were made based on number of prior cesarean deliveries (CD) and race/ethnicity.</p><p><strong>Results: </strong>The survey was open for responses for 1 month, with 128 completed surveys by the end of the study time period. Of the respondents, most (64%) had 1 prior CD and identified as White (63%). Most (60%) of all women reported contacting ≥3 providers before finding one that offered TOLAC, with no difference reported for women with 1 vs 2 prior CD (<i>p</i> = .2). Over half (52%) reported their experience seeking TOLAC to be difficult with more difficulty noted by those with 2 vs 1 prior CD, (61.8% vs 42.7%,) but not statistically significant (<i>p</i> = .06). White women were more likely to report an easier experience seeking TOLAC compared to Black women (55.6% vs 30%, <i>p</i> = .04).Overall, 37% attempted TOLAC at the reference hospital. Black (50%) and Hispanic (68.2%) women were significantly more likely to have delivered at the reference hospital than White women (24%) (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Our results suggest that women seeking TOLAC have difficulty finding providers who offer the service. This may be especially true for Black and Hispanic women and women with >1 prior CD. Women may utilize social media forums for resources and recommendations and such platforms may represent an underutilized opportunity to identify regional TOLAC services.</p>\",\"PeriodicalId\":520807,\"journal\":{\"name\":\"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians\",\"volume\":\" \",\"pages\":\"7924-7928\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/14767058.2021.1938529\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/14767058.2021.1938529\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/6/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14767058.2021.1938529","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/6/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2

摘要

目的:探讨某大城市剖宫产后试产(TOLAC)的可及性。研究设计:2012年,德克萨斯州休斯顿的一家公立三级护理医院在社交媒体上推广其TOLAC服务,导致自我转诊激增。2018年,一份电子调查通过电子邮件分发给200名此前就TOLAC问题联系过医院的女性,并在当地两个社交媒体TOLAC网站上发布。如果女性曾在休斯顿地区寻求TOLAC,她们就被要求参加。数据分析了寻求TOLAC的患者经历的趋势,并根据既往剖宫产(CD)的数量和种族/民族进行了比较。结果:本次调查开放回复时间为1个月,研究结束时共完成128份调查。在应答者中,大多数(64%)先前有1次乳糜泻,并被确定为白人(63%)。大多数(60%)的女性报告说,在找到一个提供TOLAC的医生之前,她们联系了3个以上的医生,有1次和2次既往CD的女性没有差异(p = 0.2)。超过一半(52%)的人报告说,他们寻求TOLAC的经历很困难,而那些有2 vs 1先前CD的人更困难,(61.8% vs 42.7%,),但没有统计学意义(p = .06)。与黑人女性相比,白人女性更有可能报告更容易寻求TOLAC (55.6% vs 30%, p = 0.04)。总体而言,37%的人在参考医院尝试了TOLAC。黑人(50%)和西班牙裔(68.2%)妇女在参考医院分娩的可能性明显高于白人妇女(24%)(p < 0.05)。结论:我们的研究结果表明,寻求TOLAC的妇女很难找到提供服务的提供者。对于黑人和西班牙裔妇女以及既往患有1次以上CD的妇女来说尤其如此。妇女可以利用社交媒体论坛获取资源和建议,这些平台可能是识别区域TOLAC服务的未充分利用的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A regional survey evaluating patient experience seeking trial of labor after cesarean.

Objective: To evaluate access to trial of labor after cesarean (TOLAC) in a large metropolitan city.

Study design: In 2012, a public tertiary care hospital in Houston, TX promoted its TOLAC services on social media, resulting in a surge of self-referrals. In 2018, an electronic survey was distributed by email to 200 women who had previously contacted the hospital regarding TOLAC and posted on 2 local social media TOLAC sites. Women were asked to participate if they ever sought TOLAC in the Houston area. Data were analyzed for trends in patient experience seeking TOLAC and comparisons were made based on number of prior cesarean deliveries (CD) and race/ethnicity.

Results: The survey was open for responses for 1 month, with 128 completed surveys by the end of the study time period. Of the respondents, most (64%) had 1 prior CD and identified as White (63%). Most (60%) of all women reported contacting ≥3 providers before finding one that offered TOLAC, with no difference reported for women with 1 vs 2 prior CD (p = .2). Over half (52%) reported their experience seeking TOLAC to be difficult with more difficulty noted by those with 2 vs 1 prior CD, (61.8% vs 42.7%,) but not statistically significant (p = .06). White women were more likely to report an easier experience seeking TOLAC compared to Black women (55.6% vs 30%, p = .04).Overall, 37% attempted TOLAC at the reference hospital. Black (50%) and Hispanic (68.2%) women were significantly more likely to have delivered at the reference hospital than White women (24%) (p < .05).

Conclusion: Our results suggest that women seeking TOLAC have difficulty finding providers who offer the service. This may be especially true for Black and Hispanic women and women with >1 prior CD. Women may utilize social media forums for resources and recommendations and such platforms may represent an underutilized opportunity to identify regional TOLAC services.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信