パートグラムのアラートとアクションラインの値
B Dujardin1, I De Schampheleire, H Sene
1Public Health Research and Training Unit, Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium.
Lancet (London, England)
|May 30, 1992
まとめ
パートグラムは分娩を効果的に監視し,警戒線を越えると新生児の蘇生や死産のリスクが高くなります. 警戒線を越えた時の早期の医療介入は,結果を改善します.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 公衆衛生は公衆衛生である.
- 妊産婦・胎児医学について
背景:
- 世界保健機関 (WHO) のモデルに基づいたパートグラムは,周辺の産科クリニックでの出産モニタリングの標準的なツールです.
- その有効性,特に警戒線と行動線は,さまざまな臨床環境で継続的な評価を必要とします.
研究 の 目的:
- 労働のモニタリングにおけるパートグラムの臨床的有用性と有効性を評価する.
- 新生児および胎児の不良の結果に対する警告および行動ラインの予測価値を評価する.
主な方法:
- パートグラムを用いて4ヶ月間,1022人の妊婦をモニタリングした前向きな研究.
- 新生児の蘇生と新生児の死産を含むアウトカムの分析. パートグラム線の交差に関連して.
主要な成果:
- 警戒線を越えることは,新生児の蘇生率 (RR 4.0) と新生児の死産率 (RR 5.3) が著しく高かった.
- 警戒線を横切ったが,行動線を横切らなかった女性は,依然として新生児蘇生のリスクが増加した (RR 4.0).
- 両線を横切ると,新生死産率 (RR 9.9) が著しく増加し,警戒線は新生児蘇生に対して27%の感度と93%の特異性を有しました.
結論:
- パートグラムは労働モニタリングの貴重なツールであり,有意な有効性を示しています.
- 医療介入,特に警戒線が越えた場合,母親と胎児の結果を改善するために不可欠です.
- この研究は,パートグラムのパラメータに基づいた適切な介入の重要性を強調しています.
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