产后急诊室使用以下助产士模型与产科模型护理
Carla Sorbara1, Joel G Ray2,3,4, Elizabeth K Darling2,5
1Department of Obstetrics and Gynecology, North York General Hospital, Toronto, Ontario, Canada.
JAMA network open
|April 29, 2024
概括
与传统的产科护理相比,安大略省的助产士护理减少了低风险,首次母亲的产后急诊室访问. 这可能是由于该模型强调早期和频繁的产后支持.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健提供模式 医疗保健提供模式
- 公共卫生 公共卫生
背景情况:
- 产后使用急诊室 (ED) 是常见的,并且往往是可以预防的.
- 安大略省的助产士模式提供了早期产后护理,与传统的产科模式形成鲜明对比.
研究的目的:
- 为了确定产后ED使用是否在接受助产士模型护理的妇女与传统产科模型护理之间有所不同.
- 评估不同围产期护理模式对产后医疗保健利用的影响.
主要方法:
- 在加拿大安大略省 (2012-2018) 进行了回顾性,基于人口的队列研究.
- 包括低风险,原生产妇妇女生下一个活婴儿.
- 使用波桑回归和倾向分数加权,在产后42天内比较非计划的ED访问.
主要成果:
- 与传统的产科护理 (8.4%) 相比,助产士护理与产后ED使用率较低 (6.7%).
- 调整后的ED访问的相对风险为0.78 (95% CI,0.73-0.83) 对于助产士的护理.
- 在自发性和辅助性阴道分娩中观察到ED使用的减少,但没有剖腹产或产后移植.
结论:
- 助产士模型护理与低风险,初生妇女的产后ED利用率下降有关.
- 助产士提供的产后早期支持可能有助于减少这种情况.
- 研究结果表明,综合助产护理对产后结果的潜在益处.
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