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Attitudes and behaviors of African-American and Mexican-American women delivering newborns in inner-city Los Angeles.

机译:非裔美国人和墨西哥裔妇女在洛杉矶市中心地区分娩新生儿的态度和行为。

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摘要

To study some of the factors relating to the care of mothers and newborns in an inner-city hospital, three sources of information were reviewed: an obstetric database including information on prenatal care and perinatal mortality, a database of all admissions to the hospital neonatal intensive care unit over the past 5 years, and a detailed questionnaire concerning attitudes and behaviors of recently delivered women. While analyses from these hospital-based data are not conclusive, the results add evidence for the following propositions: 1) Optimal prenatal care is infrequently obtained by mothers delivering at inner-city hospitals. Lack of prenatal care is clearly associated with increased perinatal mortality. While the need for prenatal care is appreciated by 98% of the mothers in this sample, the most frequent reasons why prenatal care is not obtained earlier or more frequently involve knowledge about and access to prenatal care. 2) Inner-city mothers, in general, manifest attitudes and behaviors that promote the welfare of their pregnancies and newborns. These attitudes and behaviors are in stark contrast to those that are frequently attributed to inner-city women by the media. 3) Acute perinatal medical and nursing care are perceived by many postpartum women as suboptimal, particularly in terms of the lack of respect shown to patients by nurses and doctors. 4) Improved acute obstetric and neonatal care improves perinatal morbidity and mortality of infants delivered at inner-city hospitals.
机译:为了研究与市内医院的母亲和新生儿的护理有关的一些因素,对三个信息源进行了审查:一个包括有关产前护理和围产期死亡率信息的产科数据库,一个所有医院新生儿重症监护病房的数据库过去五年中的护理单位,以及一份有关最近分娩妇女的态度和行为的详细问卷。虽然从这些基于医院的数据得出的分析不是结论性的,但结果为以下命题提供了证据:1)在内城区医院分娩的母亲很少获得最佳的产前护理。缺乏产前保健显然与围产期死亡率增加有关。尽管在此样本中98%的母亲意识到需要产前保健,但未能更早或更频繁地获得产前保健的最常见原因包括对产前保健的了解和使用。 2)市区内的母亲通常表现出促进怀孕和新生儿福利的态度和行为。这些态度和行为与媒体经常将其归因于城市女性的态度和行为形成鲜明对比。 3)许多产后妇女认为急性围产期医疗和护理效果欠佳,特别是因为护士和医生缺乏对患者的尊重。 4)改进的急性产科和新生儿护理可改善在市中心医院分娩的婴儿的围产期发病率和死亡率。

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