早期出産による罹病率と死亡率を低減するための初等,二次,三次介入
Jay D Iams1, Roberto Romero, Jennifer F Culhane
1Department of Obstetrics and Gynecology, Ohio State University, Columbus, OH, USA. iams.1@osu.edu
Lancet (London, England)
|January 15, 2008
まとめ
早期出産を予防するには,乳児に対する第三次ケアからすべての女性に対する初次および二次介入への移行が必要です. 現在の治療法にもかかわらず,早産率が上昇しているため,新しい戦略が不可欠です.
科学分野:
- 産婦人科と産婦人科を担当しています.
- ネオナタロジーの新生児科
- 公衆衛生は公衆衛生である.
背景:
- 早期出産の介入は,初等,二次,三次に分類されます.
- 現在の取り組みは,専門的ケアや医療治療を含む,早産児に対する第三次介入に焦点を当てている.
- これらの措置にもかかわらず,早産の発生率は増加し続けています.
研究 の 目的:
- 早期出産介入の現状を分析する.
- 既存の第三次医療アプローチの限界を強調する.
- 主要・次要予防戦略の開発を提唱する.
主な方法:
- 早期出産介入に関する既存の文献のレビュー.
- 介入の分類は,初等,中等,三等レベルに分類される.
- 早期出産の発生率とアウトカムの動向の分析.
主要な成果:
- 地域的ケア,産前コルチコステロイド,トコリチックス,抗生物質などの第三段階の介入は,産後期のアウトカムを改善しました.
- 逆説的に,早産の発生率は増加しています.
- 現在の介入は,早産率の上昇を効果的に抑制できていない.
結論:
- 早期出産を減らすためには,初等・二次予防へのパラダイムシフトが不可欠である.
- 子宮頸がんなどの他の複雑な健康問題をうまく管理する戦略は,新しいアプローチに情報を与えることができます.
- 早期出産による病気の予防には,すべての女性を対象とした積極的な対策と早期のリスクの特定が必要である.
さらに関連する動画
関連する概念動画
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...


