授权助产士进行堕胎护理
Keeley McNamara1, Marisa Poverman2, Marisa Nádas2,3,4
1Obstetrics and Gynecology, New York Presbyterian-Hudson Valley Hospital, Cortlandt Manor, New York.
Journal of midwifery & women's health
|October 18, 2023
概括
扩大对堕胎的准入是至关重要的. 纽约市的一项新的试点计划为助产士提供堕胎护理,改善先进实践临床医生的准入和证明安全的途径.
科学领域:
- 生殖健康 生殖健康
- 医学教育 医学教育
- 医疗保健政策 医疗保健政策
背景情况:
- 罗伊诉韦德案的推翻需要扩大堕胎的机会,特别是通过安全有效的方法.
- 包括助产士在内的高级实践临床医生 (APC) 作为安全的堕胎护理提供者,有很好的记录.
- 现有的医疗保健系统可能缺乏APC (如助产士) 获得堕胎服务特权的正式途径,从而阻碍了获得该服务的机会.
研究的目的:
- 为助产士制定和描述一个正式的途径,以便在一个大型城市医疗保健系统中获得独立堕胎服务的特权.
- 评估助产士领导的堕胎护理试点计划的安全性和可行性.
- 探索医疗保健工作人员对APC提供的堕胎护理的态度.
主要方法:
- 开发一个由助产士领导的堕胎提供试点计划,包括必要的培训和利益相关者的参与.
- 召开工作人员会议,探讨对提供堕胎护理的APC的态度.
- 从试点计划中收集和报告安全统计数据.
主要成果:
- 为助产士提供堕胎服务的正式途径已成功开发和实施.
- 该试点计划证明了助产士在堕胎提供安全结果.
- 研究了员工对提供堕胎护理的APC的态度,有助于了解提供者接受.
结论:
- 建立正式培训和授予助产士特权的途径可以显著改善堕胎的机会.
- 助产士主导的堕胎护理是安全有效的,与APC的更广泛的实践范围保持一致.
- 这种模式可以在其他医疗保健系统中复制,以加强生殖健康保健服务.
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