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没有试验的医疗堕胎 - - 对选择性使用堕胎前检测的证据的审查
Amanda Cleeve1,2, Emma Wallengren2, Karin Brandell1
1Department of Women's and Children's Health, Karolinska Institutet, and the WHO Collaborating Centre for Human Reproduction, Karolinska University Hospital, Stockholm, Sweden.
Current opinion in obstetrics & gynecology
|August 7, 2024
概括
没有测试的医疗堕胎 (MA) 模型,仅使用历史来确定资格,是安全,有效和可接受的. 这种方法减少了护理障碍,但需要更多的研究才能更广泛地实施.
科学领域:
- 生殖健康 生殖健康
- 远程医疗远程医疗
- 医学性堕胎 医学性堕胎
背景情况:
- 医疗堕胎 (MA) 的远程医疗模型已经迅速发展.
- "无测试"的MA模型提供基于患者病史的远程护理.
研究的目的:
- 审查现有关于无试验MA模型安全性和有效性的证据.
- 了解远程MA资格评估的好处和局限性.
主要方法:
- 审查现有证据,主要是队列和非比较性研究.
- 分析来自高资源环境的数据.
主要成果:
- 没有测试的MA是安全,有效和高度可接受的.
- 罕见的异胎妊娠或怀孕年龄低估的情况.
- 关键的好处包括减少访问时间和障碍 (成本,地理).
- 患者重视隐私,节省成本,灵活性和控制与省略超声波相关.
结论:
- 没有测试的MA可以补充现有的堕胎护理途径.
- 进一步的研究是必要的,以实现广泛的采用,特别是在低资源环境中.
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