在新生儿戒断综合征中进行产前和产后查和测试
1Yale University School of Medicine, Department of Pediatrics, Section of Hospital Medicine, United States.
Seminars in perinatology
|November 27, 2024
概括
在怀孕期间进行常规的药物使用查可以减少耻辱感并改善护理. 新生儿毒理学检测增加了耻辱感,很少需要,特别是在弱势群体中.
科学领域:
- 孕产妇健康 孕产妇健康
- 药物使用障碍 药物使用障碍
- 医疗保健政策 医疗保健政策
背景情况:
- 当前的医疗保健实践查在怀孕期间的物质使用可能会无意中增加耻辱和脱离护理.
- 孕妇和新生儿的生化样本毒理学测试与负面结果有关,特别是在有色人种家庭和贫困家庭中.
研究的目的:
- 评估当前在怀孕期间使用物质查方法的有效性.
- 评估生化毒理学测试对患者参与和新生儿结果的影响.
- 倡导改善查方案,减少对毒理学测试的依赖.
主要方法:
- 关于在怀孕期间进行物质使用查和毒理学测试的当前文献的综述.
- 分析这些方法对患者耻辱,护理参与和健康结果的影响.
- 检查对边缘化家庭造成的不公平后果的分配.
主要成果:
- 建议从第一次产前检查到分娩时使用经过验证的问卷进行序列查.
- 新生儿毒理学测试往往是不必要的,可以表明提供者-患者沟通失败.
- 目前的证据表明,新生儿毒理学测试的临床实用性有限,并具有显著的不公平后果.
结论:
- 医疗保健系统应该优先考虑在怀孕期间使用物质的降低污名的查方法.
- 对新生儿的生物化学毒理学测试应该少量使用,因为它有可能造成伤害和不公平的结果.
- 有效,富有同情心的沟通和及时的服务连接对于支持患有物质使用障碍的孕妇至关重要.
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