泰国出生窒息的促成因素:一个病例控制研究
Panida Rattanaprom1, Ameporn Ratinthorn2, Siriorn Sindhu3
1Doctoral Candidate, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
BMC pregnancy and childbirth
|August 15, 2023
概括
产后窒息是泰国发育迟缓的主要原因,与母胎因素和产后护理有关. 减少护士工作时间和改善护理模式可以减轻新生儿的风险.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 公共卫生 公共卫生
背景情况:
- 出生窒息对新生儿健康构成重大威胁,对五岁以下儿童的发育结果产生严重影响.
- 在泰国,出生窒息是导致幼儿发育迟缓的主要原因.
- 这项研究调查了与出生窒息相关的孕产妇,胎儿和卫生服务因素.
研究的目的:
- 确定导致出生窒息的关键孕产妇,胎儿和卫生服务因素.
- 分析产后护理质量对出生窒息率的影响.
- 为减少泰国出生窒息症提供基于证据的建议.
主要方法:
- 一个病例控制研究涉及4256个产后病历记录.
- 病例组以低Apgar分数 (≤7) (n=852) 定义,对照组以高Apgar分数 (>7) (n=3408) 定义.
- 在泰国八个卫生行政区的23家医院进行系统随机抽样,以评估产前护理.
主要成果:
- 在大学和先进的医院观察到出生窒息的几率增加,尽管在大学环境中护理质量更高.
- 母胎因素,如晚期早产/晚期怀孕,低出生体重,宏观症,母胎并发症,不令人放心的胎儿状况和产科紧急情况显著增加了出生窒息风险.
- 优秀的产后护理,联合护理模式,减少护士工作时间,以及由产科医生领导的分娩与显著较低的出生窒息率有关.
结论:
- 通过减少护士工作时间来优化医疗服务管理可以帮助解决出生窒息症.
- 为了达到优质的护理质量,需要整合初级护理和团队护理模式.
- 密切监测高风险怀孕 (并发症,晚期早产/晚期,低出生体重,巨) 和增加紧急情况期间产科医生的可用性至关重要.
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