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荷兰临床助产士支持的分娩类型
H W Harmsen van der Vliet-Torij1, L C M Bertens2, L Burgos Ochoa2
1Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rochussenstraat 198, Rotterdam 3015 EK, the Netherlands.
Midwifery
|June 4, 2023
概括
荷兰的临床助产士支持各种分娩,包括有并发症的分娩. 虽然她们在分娩的第二阶段的参与度增加了,但她们的整体作用并没有显著改变,因此需要为复杂的病例提供进一步的培训.
科学领域:
- 产科和妇科 产科和妇科
- 助产士的实践 助产士的实践
- 公共卫生 公共卫生
背景情况:
- 在荷兰,临床助产士的作用在过去二十年中得到了扩大.
- 他们在产科护理中的确切职责仍未确定.
- 本研究调查了临床助产士管理的分娩类型和时间趋势.
研究的目的:
- 为了确定典型的临床助产士支持的分娩的特点.
- 为了确定临床助产士的参与是否随着时间的推移而改变.
- 为管理复杂产科病例的临床助产士提供培训需求的信息.
主要方法:
- 采用了来自荷兰围产物注册局 (2000-2016年) 的国家数据.
- 采用隐性类别分析,根据特征对2,999,411次分类.
- 分析了临床助产士在分娩类,医院类型和年龄方面的参与.
主要成果:
- 确定了三个分娩类别:分娩期间的转诊,引产和计划式剖腹产.
- 临床助产士主要支持前两个班级的分娩.
- 虽然参与第二阶段的劳动增加,整体参与模式保持稳定.
结论:
- 临床助产士管理各种分娩,包括具有重大病理和复杂性的分娩.
- 目前的培训可能没有充分准备他们应对他们所遇到的复杂案件.
- 建议进行额外的基于能力的培训,以解决这些复杂问题.
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