...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Pregnancy and Childbirth >Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study
【24h】

Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study

机译：基于证据的内部实践及其在菲律宾三级教学医院的相关因素，描述了描述性混合方法研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Evidenced-based practice is a key component of quality care. However, studies in the Philippines have identified gaps between evidence and actual maternity practices. This study aims to describe the practice of evidence-based intrapartum care and its associated factors, as well as exploring the perceptions of healthcare providers in a tertiary hospital in the Philippines. A mixed-methods study was conducted, which consisted of direct observation of intrapartum practices during the second and third stages, as well as semi-structured interviews and focus group discussions with care providers to determine their perceptions and reasoning behind decisions to perform episiotomy or fundal pressure. Univariate and multivariate logistic regression were used to analyse the relationship between observed practices and maternal, neonatal, and environmental factors. Qualitative data were parsed and categorised to identify themes related to the decision-making process. A total of 170 deliveries were included. Recommended care, such as prophylactic use of oxytocin and controlled cord traction in the third stage, were applied in almost all the cases. However, harmful practices were also observed, such as intramuscular or intravenous oxytocin use in the second stage (14%) and lack of foetal heart rate monitoring (57%). Of primiparae, 92% received episiotomy and 31% of all deliveries received fundal pressure. Factors associated with the implementation of episiotomy included primipara (adjusted Odds Ratio [aOR] 62.3), duration of the second stage of more than 30?min (aOR 4.6), and assisted vaginal delivery (aOR 15.0). Factors associated with fundal pressure were primipara (aOR 3.0), augmentation with oxytocin (aOR 3.3), and assisted delivery (aOR 4.8). Healthcare providers believe that these practices can prevent laceration. The rate of obstetric anal sphincter injuries (OASIS) was 17%. Associated with OASIS were assisted delivery (aOR 6.0), baby weights of more than 3.5?kg (aOR 7.8), episiotomy (aOR 26.4), and fundal pressure (aOR 6.2). Our study found that potentially harmful practices are still conducted that contribute to the occurrence of OASIS. The perception of these practices is divergent with current evidence, and empirical knowledge has more influence. To improve practices the scientific evidence and its underlying basis should be understood among providers.
机译：所证明的实践是质量保健的关键组成部分。然而，菲律宾的研究已经确定了证据和实际产假之间的差距。本研究旨在描述基于证据的内部护理及其相关因素的做法，以及探索菲律宾大学医院医疗保健提供者的看法。进行了混合方法研究，该研究由第二阶段和第三阶段和第三个阶段的直接观察，以及与护理提供者的半结构化访谈和焦点小组讨论，以确定他们对执行eCiSiofy或Fundal的决定背后的看法和推理压力。单变量和多变量逻辑回归用于分析观察到的实践和母体，新生儿和环境因素之间的关系。定性数据被解析并分类以识别与决策过程相关的主题。共有170个交付。在几乎所有病例中，推荐护理，例如预防性使用催产素和控制脐带牵引力，在几乎所有情况下都适用。然而，还观察到有害实践，例如肌肉内或静脉内催产素在第二阶段（14％）和胎儿心率监测缺乏（57％）。 Priparae，92％接受的eCiSiocy和31％的交付获得了基础压力。与实施ePiSiofy的实施相关的因素包括pripara（调整的差距率[aor] 62.3），第二阶段的持续时间超过30？min（aor 4.6），并辅助阴道递送（aor 15.0）。与底部压力相关的因素是Pripara（AOR 3.0），用催产素（AOR 3.3）的增强，辅助交付（AOR 4.8）。医疗保健提供者认为这些实践可以防止撕裂。产科肛门括约肌损伤（OASIS）的速度为17％。与绿洲有关的辅助交付（AOR 6.0），婴儿重量超过3.5？KG（AOR 7.8），ePiSIOROMY（AOR 26.4）和底部压力（AOR 6.2）。我们的研究发现，潜在有害的做法仍然有助于OASIS的发生。对这些做法的看法与当前证据不同，经验知识有更多的影响力。为了改善实践，应在提供者之间了解科学证据及其潜在的基础。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号