世卫组织对常规产前护理的随机对照试验进行系统审查
G Carroli1, J Villar, G Piaggio
1Centro Rosarino de Estudios Perinatales, Pueyrredon 985, 2000, Rosario, Argentina. CREP@satlink.com
Lancet (London, England)
|May 30, 2001
概括
减少产前检查的数量与标准护理一样有效,对母亲和婴儿的健康结果. 这种新型的产前护理模式可能会导致一些母亲的不满,但成本较低.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 标准的产前护理计划缺乏关于访问频率和时间的强有力的证据.
- 对随机试验进行了系统审查,以评估不同的产前护理模式.
研究的目的:
- 评估减少产前检查时间表是否与标准护理一样有效.
- 为了比较标准和减少产前访问模型之间的临床结果,患者满意度和成本.
主要方法:
- 对7项涉及超过57,000名女性的随机对照试验的系统审查.
- 与标准的产前访问计划相比,使用较少产前访问的新模型.
- 分析了包括子前症,感染,死亡率,出生体重,满意度和成本效益在内的结果.
主要成果:
- 在子宫前,感染,产后贫血,产妇死亡率或低出生体重方面没有观察到显著的临床差异.
- 周产期死亡率在各组之间相似.
- 减少访问模式的成本相等或更低,尽管注意到一些不满,特别是在发达国家.
结论:
- 减少产前访问模式可以安全地实施,而不会增加对母亲或婴儿的风险.
- 在新模型中存在节省成本的潜力.
- 母亲的满意度可能会受到影响,需要在实施时仔细考虑.
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