在分娩期间进行超声检查的助产士和产科医生之间达成协议的程度
Ana M Fidalgo1, Raquel Miguel1, Irene Fernández-Buhigas1
1Department of Obstetrics and Gynecology, Hospital Universitario de Torrejón, Madrid, Spain.
概括
助产士和产科医生表现出很好的协议,使用超声波来评估胎儿头部位置和分娩进展. 这种训练有素的技能使助产士能够使用超声波有效地管理分娩进展.
科学领域:
- 产科和妇科 产科和妇科
- 医疗成像医学成像
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 准确评估胎儿头部位置和分娩进展对于安全分娩至关重要.
- 超声波是妇产科的一个有价值的工具,但其用于分娩评估的助产士需要验证.
研究的目的:
- 评估受过培训的助产士和妇产科医生对胎儿头部位置的超声波测量与分娩进展之间的一致性.
- 为了确定助产士是否可以在培训后有效地利用超声波来进行分娩管理.
主要方法:
- 一项前性研究涉及109名处于第一次分娩阶段的妇女,她们只有一次头脑表现.
- 由经过培训的助产士和产科医生进行的独立的横和腹超声波测量.
- 测量进展角度 (AoP),头到骨距离 (HPD),宫扩张 (CD) 和胎儿头部位置的比较.
主要成果:
- 在助产士和产科医生之间,AoP的良好相关性 (ICC=0.85) 和CD的非常好的相关性 (ICC=0.94).
- 对HPD的中等相关性 (ICC=0.75) 和对胎儿头部位置分类的非常好的一致性 (科恩的 κ=0.89).
- 高水平的同意表明受过培训的助产士可靠地使用超声波.
结论:
- 经过培训的助产士可以有效地进行胎儿头部位置和分娩进展的超声波评估.
- 超声波可靠地被助产士用于监测分娩进展,提高产科护理.
- 这项研究支持将超声波技能纳入助产士实践,以改善患者的治疗结果.
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