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解除助产士课程的殖民化:抛弃卡德威尔-莫洛伊盆腔类型
Nancy A Niemczyk1, Adeyinka Sokunbi2, Barbara Reale2
1Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Birth (Berkeley, Calif.)
|January 25, 2024
概括
助产士教育者正在停止使用Caldwell-Moloy盆腔分类,因为缺乏科学证据. 本评论解释了为什么,并提出了教学骨盆评估在助产士教育的替代方法.
科学领域:
- 产科和妇科 产科和妇科
- 助产士教育 助产士教育
- 人体解剖学 解剖学 解剖学
背景情况:
- 历史上,Caldwell-Moloy分类一直被用来分类女性的骨盆形状.
- 人们对这些分类的科学有效性和临床实用性存在担忧.
- 一些助产士课程已经不再教授这些传统的骨盆类型.
研究的目的:
- 解释在助产士教育中停止使用Caldwell-Moloy盆腔分类的理由.
- 批判性地审查盆腔类型分类的起源和科学支持.
- 为教学骨盆评估提出一种最新的方法.
主要方法:
- 对卡尔德威尔-莫洛伊分类的历史背景和科学证据的文献综述.
- 分析与骨盆评估相关的当前临床决策实践.
- 开发一种替代的教学方法,用于教学盆腔解剖学和评估.
主要成果:
- 考德威尔-莫洛伊分类缺乏强大的当代科学支持临床应用.
- 传统的骨盆类型不是分娩临床结果的可靠预测指标.
- 现有的证据不证实在现代产科实践中使用这些分类.
结论:
- 卡尔德威尔-莫洛伊分类已经过时,在助产中缺乏临床使用的科学有效性.
- 助产士教育应该过渡到基于证据的方法来评估骨盆.
- 建议使用专注于功能性骨盆评估的替代教学策略.
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