死产:预防和支持性丧亲关怀
Bethany Atkins1,2, Lindsay Kindinger3,4, Muhammad Pradhiki Mahindra1
1Institute for Women's Health, University College London, London, UK.
BMJ medicine
|August 11, 2023
概括
每年约有200万例死产中的一半是可以通过改善孕产妇护理和具体干预措施来预防的. 加强丧亲护理和医疗保健提供者培训对于支持死产后的父母至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,每年有200万例死产,其中很大一部分是可以预防的.
- 一般的孕产妇健康干预措施,如产前护理,可以降低死产的风险.
- 新出现的风险因素包括怀孕期间的COVID-19感染,特别是在未接种疫苗的人群中.
研究的目的:
- 审查目前关于死产预防策略的证据.
- 突出影响死产风险的特定护理领域.
- 强调高质量的丧亲护理和员工培训的重要性.
主要方法:
- 综合审查最新的科学证据.
- 专注于具体的干预措施:葡萄糖代谢,阿司匹林预防,凝血/免疫障碍,睡眠位置,胎儿运动监测以及孕前/孕后健康.
- 包括最近关于COVID-19对死产风险的影响的发现.
主要成果:
- 证据支持干预葡萄糖代谢,阿司匹林使用,控制凝血/免疫疾病,安全的睡眠姿势和胎儿运动监测以预防死产.
- 怀孕期间的COVID-19感染是显著的危险因素,特别是在未接种疫苗的妇女中.
- 支持性丧亲照顾,包括父母选择和员工培训,显著改善了父母的福祉.
结论:
- 通过有针对性的干预措施和改善孕产妇医疗保健,可以实现预防死产.
- 高质量的,富有同情心的丧亲护理和足够的员工培训是死产管理的重要组成部分.
- 需要在全球范围内采取紧急行动,在高资源和低资源环境中,实施基于证据的战略,减少死产和改善护理.
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