改善低收入和中等收入国家的第一阶段和第二阶段劳动力管理
G Justus Hofmeyr1, Badani Moreri-Ntshabele2, Zahida Qureshi3
1Department of Obstetrics and Gynaecology, University of Botswana, Gaborone, Botswana; Effective Care Research Unit, University of the Witwatersrand, East London, South Africa; Department of Obstetrics and Gynaecology, Walter Sisulu University, East London, South Africa.
概括
助产士领导的分娩单位平衡父母的愿望与安全. 新的工具,如劳动护理指南和COPE记忆器,改善了分娩结果,而证据支持用于管理胎儿巨和肩膀缩等风险的做法.
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
- 基于证据的助产士工作
背景情况:
- 让父母对分娩的愿望与产科安全保持平衡至关重要.
- 世界卫生组织 (WHO) 更新了劳动监测工具,用劳动护理指南取代了传统的分段仪.
- 劳动护理方面的创新旨在改善分娩结果和母胎福利.
研究的目的:
- 审查当前基于证据的劳工实践.
- 突出劳动保健和监测方面的新发展.
- 讨论管理复杂产科情景的策略,提高分娩单位的有效性.
主要方法:
- 审查支持特定劳动惯例的最新证据.
- 实施项目的描述 (博茨瓦纳的COPE,坦桑尼亚的Parto-Ma) 使用新的指导方针和记忆技术.
- 讨论产科并发症的诊断和管理技术.
主要成果:
- "现场助产士主导的初级保健分娩单位"模式促进了平衡的分娩护理.
- 博茨瓦纳 (COPE记忆) 和坦桑尼亚 (Parto-Ma) 的实施项目显示出改善结果的希望.
- 有证据支持专门针对肩膀缩,引产和诊断出形不良/位置不良的干预措施.
结论:
- 助产士领导的分娩单位提供了一个安全和以患者为中心的分娩护理的框架.
- 新的工具和基于证据的实践,包括劳动照顾指南和COPE记忆,提高劳动力管理.
- 准确的诊断和及时的干预是管理产科紧急情况和改善分娩结果的关键.
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