水产分娩政策的内容分析与对实践和研究的影响
Nursing for women's health
|June 23, 2023
概括
水中分娩的临床指南显示出显著的差异,特别是在低风险的定义和特定的排除标准方面,如染液体. 需要更多的研究来创建基于证据的,可访问的水分分娩协议.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 基于证据的实践.
背景情况:
- 临床指导文件指导在各种环境下进行水分娩护理.
- 现有协议存在不一致性,影响了患者获取和提供者实践.
研究的目的:
- 确定水产分娩护理临床指导文件中的共识和差异领域.
- 分析当前水产分娩建议的证据基础.
主要方法:
- 来自六个国家的22份水产分娩指导文件的定性描述性研究.
- 适应的框架方法和使用一般诱导方法的定性内容分析.
主要成果:
- 一致的纳入标准:术期,单子,头部表现,安抚母亲/胎儿状态.
- "低风险"状态的变量定义和不一致的管理因素,如以前的剖腹产,BMI和染液体.
- 缺乏支持限制性政策的证据,特别是对有污染的液体.
结论:
- 浸水是一种灵活的干预措施,可以适应不同的环境.
- 过度限制性水产分娩政策往往缺乏证据,是基于意见而不是研究.
- 调查结果强调需要进行研究,以改善基于证据的指导方针和获得水产的机会.
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