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选择性剖腹产后常规血红蛋白水平评估的价值:这是值得的吗?

Wisam Assaf¹, Maya Gruber¹, Eiman Shalabna¹

¹Department of Obstetrics and Gynecology, Lady Davis Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, Haifa, Israel.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|August 2, 2024

概括

选择性剖腹产 (CS) 后的常规血红蛋白检测对于没有产后出血 (PPH) 的患者是不必要的. 这种做法可以重新考虑,以优化资源使用,同时保持患者护理质量.

科学领域:

产科和妇科产科和妇科
临床病理学临床病理学
医疗保健服务研究医疗服务研究

背景情况:

产后出血 (PPH) 是分娩后的一个重大问题.
血红蛋白检测是一种常见的术后评估.
在没有PPH的剖腹产 (CS) 后进行常规血红蛋白检测的实用性受到争议.

研究的目的:

评估在没有初级产后出血 (PPH) 的选择性或紧急剖腹产 (CS) 患者进行例行术后血红蛋白检测的必要性.

主要方法:

追溯的队列研究.
包括从阴道分娩 (VD) 开始的妇女,可选的CS和紧急的CS小组 (2015-2020).
排除带有PPH的分娩;从产科数据库提取的数据.

主要成果:

包括19446名妇女;输血率:0.3% (可选的CS),0.17% (VD),0.4% (紧急的CS).
紧急CS显示了更高的输血风险;选择性CS和VD之间没有显著差异.
在选择性CS组 (0.1%) 观察到的分娩后血红蛋白<7 g/dL的最低比率.

结论:

在没有PPH的选择性CS后,对无症状患者进行常规的术后血红蛋白检测可能是不必要的.
在选修CS之后重新考虑例行血红蛋白检测可以优化资源利用.
在精选的CS病例中,在不进行例行术后血红蛋白检测的情况下,可以保持高质量的患者护理.

关键词:

输血输血输血输血输血全血细胞计数的完整数目.节省成本节省成本选择性剖腹产是可以选择的.紧急的剖腹产切割.通过阴道分娩.

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