达成共识 关于自杀和无意中过量服用的与怀孕相关的标准,使用德尔菲过程
Marcela C Smid1,2, Porcia Vaughn3, Christine Cooper Nowicki4,5
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, UT, USA. Marcela.Smid@hsc.utah.edu.
Archives of women's mental health
|September 28, 2023
概括
标准化标准改善了与怀孕有关的死亡分类. 在10个提出的标准中,应用了8个达到了专家的共识,增加了分类率,当有额外的信息可用于产妇死亡率审查时.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 法医病理学 法医病理学
背景情况:
- 自杀和无意的过量服用是导致在怀孕期间和怀孕一年内死亡的可预防原因.
- 需要标准化的标准来准确地分类与怀孕有关的死亡.
研究的目的:
- 评估专家对10项建议标准的共识,以对因自杀和过量服用而导致的妊娠相关死亡进行分类.
- 评估额外病例信息对怀孕相关性决定的影响.
主要方法:
- 经过修改的德尔菲过程,来自48个产妇死亡率审查委员会 (MMRC) 的58名专家使用了该过程.
- 参与者审查了模拟案例场景,死亡时间和信息可用性各不相同.
- 共识被定义为对怀孕相关性的≥75%的同意.
主要成果:
- 在10个提出的标准中,有8个达到了专家的共识.
- 最初将病例归类为与怀孕有关的病例是19.4%,随着额外的信息增加到56.8%.
- 分类率因死亡时间和信息可用性而有很大差异,当提供更多数据时,分类率大幅增加.
结论:
- 在8个标准化标准上达成共识,用于MMRC确定自杀和过量死亡中的怀孕相关性.
- 额外的病例信息显著影响了与怀孕有关的死亡的分类.
- 标准化标准和全面的信息对于准确的孕产妇死亡率评估至关重要.
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