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1.
各具特色的国外妇幼保健工作 总被引:1,自引:0,他引:1
李善国 《健康教育与健康促进》2007,(2)
本文通过对国际上几个主要国家的妇幼保健工作的介绍,使人们对不同特色的妇幼保健事业有所了解,他山之石,可以攻玉,希望能够对我国妇幼保健工作的发展提供借鉴。 相似文献
2.
Objective
This study investigated how health care provider communication of risk information, and women’s role in decision-making, influenced women’s preferences for mode of birth after a previous caesarean birth.Methods
Women (N?=?669) were randomised to one of eight conditions in a 2 (selectivity of risk information) × 2 (format of risk information) × 2 (role in decision making) experimental design. After exposure to a hypothetical decision scenario that varied information communicated by an obstetrician to a pregnant woman with a previous caesarean birth across the three factors, women were asked to decide their preferred hypothetical childbirth preference.Results
Women provided with selective information (incomplete/biased toward repeat caesarean) and relative risk formats (ratio of incidence being compared e.g. 2.5 times higher), perceived lower risk for caesarean and were significantly more likely to prefer repeat caesarean birth than those provided with non-selective information (complete/unbiased) and absolute risk formats (incidence rate e.g. 0.01 per 100). Role in decision-making did not significantly influence childbirth preferencesConclusions
Modifiable aspects of healthcare provider communication may influence women’s decision-making about childbirth preferencesPractice implications
Optimised communication about risks of all options may have an impact on over-use of repeat CS. 相似文献3.
4.
目的:检测深圳特区850 例孕、产妇、新生儿、不同年龄儿童红细胞免疫功能,观察其正常水平并为其保健作为对比。方法:采用祝爱霞微量全血法RBC- C3bRR( 红细胞C3b 受体酵母菌花环试验) 和RBC- ICR( 红细胞免疫复合物花环试验) 。结果:不同年龄组儿童的RBC- C3bRR 及RBC- ICR 与正常组比较,红细胞免疫功能低下( P< 0-01) ,而不同年龄儿童组间的RBC- C3bRR 无显著性差异( P> 0-05) ,但RBC- ICR 有着非常显著性差异( P< 0-01) 。产妇组在产后24 小时以内RBC- C3bRR 和RBC- ICR 与正常组比无显著性差异( P> 0-05) ,而孕妇及新生儿的RBC- C3bRR 和RBC- ICR 与正常组相比有着非常显著性意义( P< 0-01) 。结论:对不同年龄的儿童、孕妇及新生儿应采取相应保健综合措施,提高其红细胞免疫功能是完全必要的。 相似文献
5.
J Labarere M Castell M Fourny M Durand J-C Pons 《International journal of gynaecology and obstetrics》2003,83(1):77-84
OBJECTIVES: To estimate whether a 3-day training program for health professionals was followed by changes in maternity ward practices and in the rate of exclusive breastfeeding. METHODS: A retrospective study in the maternity ward of a French university hospital involved two cross-sectional samples of 323 mother-infant pairs in 1997 and 324 in 2000. RESULTS: The rate of exclusive breastfeeding at discharge increased from 15.8% (12.0-20.2) in the before sample to 35.2% (30.0-40.6) in the after sample (P<0.01). This result persisted in the multivariable analysis [adjusted odds ratio, 2.74 (1.72-4.37)]. Infants in the before sample were less likely to be breastfed within 1 h of birth (9.2% vs. 16.9%, P=0.01), to room-in 24 h/day (56.6% vs. 72.6%, P<0.01), and were more likely to receive formula supplementation (77.6% vs. 54.0%, P<0.01). CONCLUSIONS: A training program for health professionals can be effective in improving maternity ward practices and increasing exclusive breastfeeding rate at discharge. 相似文献
6.
目的 探讨胰岛素样生长因子-Ⅰ(IGF-1)和IGF-Ⅱ与胎儿生长发育的关系。方法 抽取15例分娩IUGR胎儿(IUGR组)及20例分娩正常Jk(对照组)产妇肘静脉血、新生儿脐静血及羊水。采用放射免疫法及免疫放射法分别测定其IGF-Ⅰ、IGF-Ⅱ水平。结果 IUGR组产妇血清IGF-Ⅰ水平低于对照组,IGF-Ⅱ水平无显著差异;IUGR组脐血及羊水中IGF-Ⅰ、IGF-Ⅱ水平较对照组显著降低。结论 检测母血及羊水中IGF-Ⅰ、IGF-Ⅱ水平可监测胎儿生长发育,早期诊断IUGR。 相似文献
7.
对北京市妇幼保健机构测评指标体系的研究 总被引:2,自引:1,他引:2
论述了北京市妇幼保健机构测评体系的依据、范围及内容。主要对原有的评审指标体系进行了调整、重新组合和分配 ,并且增加了“财务状况分析”、“领导行为与组织文化”两个全新的成分 ,决定将新的测评体系分为由内部因素和外部因素共同作用的“机构生存条件与发展能力评估”部分主要由内部因素影响的“机构工作评审”部分 ,以区别机构领导者的责任与今后努力方向之间的差别 ,减少评审时所表现的行为畸变和信息偏倚。 相似文献
8.
9.
《Midwifery》2017
Objectivethis paper is a report of a systematic review and meta-ethnography of the experiences of women with body mass index (BMI) ≥ 30 kg/m² and their experience of maternity care.Methodsystematic review methods identified 12 qualitative studies about women's experiences of maternity care when their BMI ≥ 30 kg/m². Findings from the identified studies were synthesised into themes, using metaethnography.Synthesis and findingsthe meta-ethnography produced four key concepts; Initial encounters, Negotiating risk, Missing out and The positive intervention, which represent the experiences of maternity care for women with BMI ≥ 30 kg/m²Key conclusionmany women with BMI ≥ 30 kg/m² appear to be dissatisfied with the approaches taken to discuss weight status during maternity encounters. When weight is not addressed during these encounters women appear to be equally dissatisfied. The absence of open and honest discussions about weight, the feeling of being denied of a normal experience, and an over emphasis on the risks imposed upon pregnancy and childbirth by obesity, leave women feeling dissatisfied and disenfranchised. Sensitive care and practical advice about diet and exercise can help women move towards feeling more in control of their weight management 相似文献
10.
目的:观察优质护理在产科病房中的应用效果.方法:选取妇产科的160例产妇,分为优质护理组和常规护理组,每组80例,分别对产妇进行入院期间的满意度调查,依从性评价及产妇生产方式和新生儿娩出1 min Apgar评分情况比较.结果:优质护理组的总满意度、依从性、自然分娩率和新生儿娩出1 min Apgar评分情况与常规护理组相比差异均具有显著的统计学意义(P<0.01).结论:优质护理在产科护理中具有较好的临床应用效果,值得在产科护理中进一步应用和推广. 相似文献