相关实验视频

Updated: Jun 29, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

阴道分娩是低位胎盘妇女的成本降低策略

Elisabetta Colciago^1,2, Pietro Ferrara^3,4, Isadora Vaglio Tessitore⁵

¹School of Medicine and Surgery, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Monza-Brianza, Italy - elisabetta.colciago@unimib.it.

Minerva obstetrics and gynecology

|March 27, 2024

概括

促进阴道分娩 (VB) 对于低卧胎盘 (LLP) 的妇女可以减少医疗保健资源利用率 (HCRU) 和意大利医疗保健系统的经济负担. 这项研究对LLP案件的VB和剖腹产 (CD) 成本进行了比较.

科学领域:

产科和妇科产科和妇科
卫生经济学卫生经济学
现实世界的证据研究研究.

背景情况:

剖腹产 (CD) 与医疗保健资源利用率 (HCRU) 的增加有关.
低躺胎盘 (LLP) 妇女的最佳分娩方式仍在争论中,与CD表示的胎盘前期不同.
在LLP案件中,不同出生方式对经济影响的数据有限.

研究的目的:

评估在意大利医疗保健系统内低躺胎盘 (LLP) 的妇女的阴道分娩 (VB) 与剖腹产 (CD) 的医疗保健资源利用率 (HCRU) 和经济影响.

主要方法:

对于在妊娠28-30周诊断出LLP的妇女的真实世界患者数据的回顾性分析.
成本最小化分析 (CMA) 用于比较VB和CD成本.
微成本分析 (MCA) 评估详细的经济影响,考虑诊断相关集团支付之外的实际资源使用.

主要成果:

研究队列包括86名LLP妇女;49人 (57%) 患有VB,37人 (43%) 患有CD.
成本最小化分析表明VB和CD之间的经济差异很小,特别是在考虑机会成本时.
微成本分析显示,每次VB的成本大约是每次CD成本的一半.

结论:

患者层面的现实世界数据为LLP的干预措施的经济价值提供了必要的见解.
为减轻医疗保健系统资源的压力,建议在低卧胎盘 (LLP) 的妇女中促进阴道分娩 (VB).
对LLP案件实施VB可以为医疗保健系统节省大量成本.

更多相关视频

The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo

The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo

Published on: August 2, 2017

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Published on: September 5, 2011

相关概念视频

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

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...

Birth Control Methods

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...