一项评估产科出血管理的实践模式的调查
M Kaur1, J M Phillips2, H K Ahmadzia3
1Department of Obstetrics and Gynecology, George Washington University, Washington, DC, USA.
Journal of neonatal-perinatal medicine
|September 18, 2023
概括
孕产妇胎儿医学医生越来越多地使用特兰胺酸 (TXA) 治疗产科出血. 然而,许多研究员仍然缺乏对在没有妇科瘤学支持的情况下进行剖腹产切除术的信心.
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
- 管理出血 管理出血
背景情况:
- 产科出血管理已经发展,但实际应用数据是有限的.
- 在孕产妇和胎儿医学 (MFM) 医生中了解当前的临床实践至关重要.
研究的目的:
- 在执业的MFM医生中确定当前的产科出血管理模式.
- 评估特定干预措施的使用情况,如子宫激素,抗纤维素催化剂和细胞救援.
主要方法:
- 对MFM研究员和教师进行了一项关于出血管理策略的调查.
- 该调查涵盖了风险评估,子宫和抗纤维解药的使用,细胞节约器的使用和异常胎盘管理.
- 收集和分析了80个回复.
主要成果:
- 甲基尔戈诺文是首选的一线子宫激活剂.
- 在激活大规模输血协议 (MTP) 或高风险预定分娩时,细胞救援的考虑增加了.
- 大约28%的提供者使用了特兰克萨姆酸 (TXA) 作为预防措施.
- 只有26%的MFM研究员感到准备好进行剖腹产切除术,而没有妇科瘤学.
结论:
- 与之前的报告相比,TXA的使用显著增加.
- 对异常胎盘的MRI和栓塞的使用也增加了.
- MFM研究员报告说,在没有妇科瘤学支持的情况下,他们对剖腹产切除感到不准备,可能是由于专门的accreta中心.
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