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通过对产妇护理提供者进行有关劳动管理的教育和行为干预,改善希腊的产后终端:ENGAGE阶梯随机预测试验协议
Nikolaos Vrachnis1,2, Nikolaos Antonakopoulos3, Peter von Dadelszen4
13rd Department of Obstetrics and Gynecology of the University of Athens, Attikon Hospital, Athens, Greece. nvrachnis@hotmail.com.
这项研究通过评估产科医生,调查了在希腊减少剖腹产率高的干预措施.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 临床试验方法论 临床试验方法论
背景情况:
- 希腊剖腹产率不断上升,需要进行系统的调查和干预.
- 探索希腊产科医生遵守基于证据的指导方针和对干预措施的反应至关重要.
- 将确定实施劳动管理变革的障碍和推动因素.
研究的目的:
- 探索教育和行为干预措施在减少希腊剖腹产率方面的有效性.
- 评估希腊产科医生采用基于证据的实践的能力.
- 确定在产科单位实施干预措施的障碍和促进因素.
主要方法:
- 一个多中心的阶梯随机试验,涉及22个希腊产科和20,000-25,000个分娩.
- 干预措施包括应用希腊妇产学会 (HSOG) 准则,心脏病学培训和紧急管理.
- 在28个月内收集剖腹产率,阴道分娩以及孕产妇/产周发病率和死亡率的数据.
主要成果:
- 主要结局是剖腹产率的变化.
- 二次结局包括孕产妇和新生儿发病率和死亡率的变化.
- 结果将可供参与单位进行绩效监测和反.
结论:
- 预计这项研究将提供关于持续的临床参与和干预措施对希腊剖腹产实践的影响的见解.
- 调查结果可能会为改善孕产妇和新生儿护理质量的战略提供信息.
- 该研究旨在帮助减少希腊和可能其他国家的高剖腹产率.
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