在国际文献中对长期劳动的不一致定义:一个范围审查
Wouter Bakker1,2, Evelien M Sandberg2, Sharon Keetels2
1Athena Institute, VU University, Amsterdam, The Netherlands.
AJOG global reports
|July 23, 2024
概括
长期劳动的定义缺乏一致性,影响了剖腹产率和生理劳动评估. 建立共识定义对于安全有效的孕产妇护理至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 临床定义 临床定义
背景情况:
- 长时间的分娩是剖腹产的首要迹象.
- 现有的延长劳动的定义是不一致的,可能会高估劳动速度.
- 缺乏标准化的定义阻碍了劳动进度的准确评估和比较.
研究的目的:
- 在科学文献中审查和分类长期劳动的同义词和定义.
- 分析劳动的第一阶段和第二阶段的定义.
- 确定用于长期劳动的定义类型.
主要方法:
- 在多个数据库 (PubMed,Embase,科学网等) 进行系统的文献搜索. ) 的情况.
- 包括英语文章定义或使用长期劳动的同义词.
- 提取研究设计,出版年份,同义词,定义和定义来源的数据.
主要成果:
- 包括232篇论文,确定了长期劳动的53个同义词.
- 对于延长的第一个分娩阶段的定义是基于时间,基于进展,基于临床医生或基于结果的.
- 大多数对延长第二阶段的定义是基于时间的,重点是胎儿下降的持续时间或缺乏.
结论:
- 在长期劳动的定义中仍然存在显著的异质性.
- 迫切需要就标准化定义达成共识.
- 标准化定义将改善患者安全,管理和延长劳动发生率的可比性.
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