在分娩后立即期间维持催产素:在第三级产妇单位的频率,决定因素和做法
Inès Aubenas1, Lyn Badra1, Clara Rollet2
1Department of Obstetrics and Gynecology of Port-Royal, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris University, Paris, France.
Journal of gynecology obstetrics and human reproduction
|March 2, 2024
概括
在阴道分娩后,维护性催产素经常被给予,尽管不推. 这种做法与平等性,先前产后出血史和助产士经验等因素有关.
科学领域:
- 产科和妇科 产科和妇科
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 国家指导方针建议在阴道分娩后使用预防性催产素,以预防产后出血 (PPH).
- 额外的维护性催产素不是常规推的,但通常会被给予.
- 了解这种做法的频率和驱动因素对于优化产后护理至关重要.
研究的目的:
- 为了评估维持性催产素在分娩后立即给予的发生率.
- 识别与使用相关的孕产妇,产科和组织因素.
- 分析影响这种实践的与医疗保健提供者相关的决定因素.
主要方法:
- 在一个单一的高等保健大学中心进行了回顾性观察性研究.
- 包括怀孕37周或之后阴道分娩的妇女,不包括直接的PPH病例.
- 单变量和多变量分析来比较群体,对低风险人群进行敏感性分析.
主要成果:
- 在584名患者中,近一半 (47.6%) 接受了维护性催产素治疗.
- 在孕期妇女和有PPH病史的妇女中观察到更高的给药率.
- 增加的使用与助产士有超过5年的经验和夜间分娩有关.
结论:
- 维护性催产素给药是一种常见的做法,在近一半的研究患者中发生.
- 维持性催产素的决定受患者因素和医疗保健提供者的做法的影响.
- 可能需要进一步的研究来使实践与基于证据的指导方针保持一致.
更多相关视频
相关概念视频
Endoscopic Studies II: Thoracocentesis
258
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
258
Endotracheal Intubation II: Nursing Management
628
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
628
Local Anesthetics: Clinical Application as Epidural Anesthesia
432
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
432
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
285
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
285


