在低收入和中等收入国家管理胎盘增殖谱
Albaro José Nieto-Calvache1, Jose M Palacios-Jaraquemada2, Ahmed M Hussein3
1Fundación Valle Del Lili, Departamento de Ginecología y Obstetricia, Cra 98 No. 18 - 49, Cali, 760032, Colombia; Amsterdam University Medical Center, Amsterdam, 1007, the Netherlands.
概括
胎盘增生频谱 (PAS) 管理需要在资源较少的环境中采取量身定制的方法. 本次审查重点关注可访问的产前评估,经济有效的治疗方法和培训,以改善全球母亲的结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 胎盘积分谱 (PAS) 与严重出血和产妇死亡率有关.
- 在全球范围内,PAS患病率正在上升,与剖腹产分娩率相关.
- 低收入和中等收入国家 (LMICs) 的有限医疗保健基础设施加剧了PAS相关的发病率和死亡率.
研究的目的:
- 审查特定于LMICs的PAS管理.
- 提出可访问的产前诊断和治疗策略.
- 强调机构间的合作和培训,以改善患者护理.
主要方法:
- 对资源有限环境中PAS管理的当前文献的综述.
- 分析产前评估和治疗选择中的挑战.
- 开发一个可适应低资源场景的管理协议.
主要成果:
- 由于资源限制,国际指导方针在LMICs中经常具有挑战性.
- 低成本的管理程序对于这些地区有效的PAS护理至关重要.
- 培训当地产科团队是对高科技资源的可行的替代方案.
结论:
- 在LMICs中有效的PAS管理需要适应国际标准.
- 一个强调培训和可访问干预措施的协议可以改善结果.
- 机构间的合作对于在资源有限的环境中提供全面的PAS护理至关重要.
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