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非大学心脏分娩计划的覆盖范围和有效性

Retu Saxena^1,2, Gretchen Benson¹, Abbey C Sidebottom³

¹Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

|June 23, 2024

概括

多学科心血管产科计划 (CVOB) 改善了怀孕心脏病患者的护理. 这些计划增加了心血管检测,专家监测和高风险怀孕的药物管理.

科学领域:

心脏病学心脏病学
产科产科产科产科产科
孕产妇和胎儿医学孕产妇和胎儿医学
公共卫生公共卫生

背景情况:

目前的指导方针倡导多学科心血管产科计划 (CVOB),以管理患有复杂心血管疾病的孕妇.
然而,对这些程序的评估有限,这些程序主要在大学医疗中心提供.

研究的目的:

评估在非大学卫生系统中实施的CVOB计划的影响.
为了比较患者的特征和在计划建立之前和之后获得的护理.

主要方法:

一项回顾性队列研究比较了由CVOB团队管理的102名患者 (2018-2019) 与心脏病学在计划 (2016-2017) 之前看到的102名匹配对照.
匹配是基于世界卫生组织 (mWHO) 修改的风险类别.

主要成果:

CVOB患者代表了具有更高心血管风险的更多种族多样性的人群 (mWHO ≥ II-III: 57% vs 17%).
CVOB患者接受了更多的心脏病检测 (中位数为8对5),遥测护理 (32%对19%) 和围产科访问 (中位数为8对2).
在CVOB组的阴道分娩患者的逗留时间略长 (中位数为2.66天与2.13天).

结论:

实施CVOB计划成功地吸引了更多多样化的患者群体.
该CVOB计划提高了护理水平,证实了心血管检测,监测,专家参与和怀孕期间适当的药物使用的增加.

关键词:

心脏和产科的医生.心脏病学心脏病学心脏病学心血管疾病的风险.孕产妇的胎儿医学孕产妇发病率孕产妇发病率多学科协调护理是多学科协调护理.

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