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低收入和中等收入国家在分娩期间用于胎儿评估的心脏图解学:一个范围审查

Mai Takeshita¹, Rie Toyomoto², Kanae Marui¹

¹Department of Health Informatics, Graduate School of Medicine / School of Public Health, Kyoto University, Kyoto, Japan.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|January 30, 2024

概括

低收入和中等收入国家 (LMICs) 中心电图 (CTG) 的使用显示出显著的差异和模两可. 需要更多的研究来了解其可用性和有效的应用,以改善这些地区的孕产妇和新生儿结果.

科学领域:

产科和妇科产科和妇科
新生儿健康新生儿健康
全球健康全球健康

背景情况:

为改善新生儿结局而使用心脏图解 (CTG) 是一个有争议的问题.
在低收入和中等收入国家 (LMICs) 使用CTG的指导方针对于设置,患者群体和解释是不清楚的.
需要澄清CTG在LMICs中的作用.

研究的目的:

系统地审查CTG在LMICs进行的研究中的使用情况.
评估目前关于CTG对LMIC中母亲和新生儿结局的影响的证据.
提供关于CTG在LMICs潜在有效使用的见解.

主要方法:

在Medline,CINAHL,EMBASE和Cochrane CENTRAL进行了全面的文献搜索,截至2023年9月.
包含的研究是那些在LMICs进行的研究,重点是分娩期间的孕妇,并检查CTG利用率和新生儿结局.
根据PRISMA-ScR指南的范围审查方法用于数据收集和分析.

主要成果:

在1157个初始结果中,有67项研究被纳入了审查.
在研究环境,患者群体,CTG时间,频率和持续时间中观察到显著的变化和模糊性.
虽然剖腹产率经常被报告,但新生儿死亡率等关键结果被报告不足.

结论:

在LMICs中CTG的应用具有相当大的差异和缺乏清晰度的特点.
现有的证据基础有限,突出显示需要进一步研究.
未来的研究应该调查CTG的可用性及其在LMIC环境中的有效实施.

关键词:

在CTG中,CTG是CTG.心脏图解图 (cardiotocography) 是一种心脏图解图.通过电子胎儿监测来监测胎儿.胎儿心率是如何发生的这些指导方针是指导方针.低收入和中等收入国家.新生儿的结果.预后预后预后

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