荷兰产妇护理助理在分娩期间的持续护理与通常护理:一个随机对照试验
Karina V Chaibekava1, Amber J C Scheenen2, Adrie Lettink3
1Department of Obstetrics & Gynecology, Maastricht University Medical Center, Maastricht, The Netherlands (Mses Chaibekava and Scheenan and Dr Scheepers); GROW-School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands (Ms Chaibekava and Dr Scheepers).
American journal of obstetrics & gynecology MFM
|September 24, 2023
概括
产妇护理助理在分娩期间的持续支持可以减少外周止痛和剖腹产等干预措施. 这种分娩支持导致更多的阴道分娩,而不会增加产周成本.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 持续的劳动支持与减少产科干预有关.
- 持续支持模型的实施仍然有限.
- 评估成本效益对于广泛采用至关重要.
研究的目的:
- 评估产妇护理助理持续劳动支持对分娩结果和产后成本的影响.
- 为了确定这种护理模式是否具有成本效益.
主要方法:
- 随机对照试验比较持续支持与照顾通常情况.
- 主要结局:使用外周止痛药.
- 二级结局包括其他止痛药,出生方式,成本,以及孕产妇/新生儿结局.
- 进行了治疗意图和每条协议分析.
主要成果:
- 每项协议分析显示,随着持续支持,外周止痛,其他止痛和剖腹产的显著减少.
- 在干预组中观察到自发性阴道分娩的显著增加.
- 对治疗意图的分析没有显示出外围注射或周周治疗费用的统计学上显著差异.
结论:
- 由产妇护理助理提供持续劳动支持的保障,可以改善分娩结果,包括更多的阴道分娩和更少的干预.
- 与标准护理相比,这种护理模式并没有显著改变周边护理成本.
- 持续支持是改善劳动经验和结果的潜在有效计划.
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