基于证据的策略,以尽量减少不必要的初级剖腹产:全面审查
Nada Y Metwali1, Ruqayyah A Ahmed1, Jumana Hussain Timraz1
1Department of General Medicine and Surgery, Batterjee Medical College for Science and Technology, Jeddah, SAU.
Cureus
|December 30, 2024
概括
剖腹产率的上升对母亲和新生儿构成风险. 通过患者教育和政策改革减少不必要的CS可以改善结果并降低医疗保健成本.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 全球剖腹产率正在上升,这引发了对母亲和新生儿健康结果的担忧.
- 过度使用CS,即使是选择性的,也会导致诸如出血,感染,不孕症和未来怀孕问题等并发症.
- 这些因素包括患者的偏好,对劳动的恐惧,经济激励,防御医学和私人医疗保健实践.
研究的目的:
- 在全球范围内审查剖腹产 (CS) 的流行情况.
- 探索导致CS费率上升的因素.
- 建议减少不必要的CS的策略.
主要方法:
- 关于剖腹产 (CS) 患病率和促成因素的文献综述.
- 分析发展中国家和发达地区之间CS率的变化.
- 确定减少不必要的CS的建议.
主要成果:
- 剖腹产率在发展中国家和发达地区之间有很大差异.
- 多种因素,包括母亲偏好和医疗保健系统的激励措施,导致CS率的上升.
- 产前教育,助产士领导的护理和跨学科合作是减少不必要的CS的关键.
结论:
- 减少不必要的剖腹产需要专注于患者教育,持续监测和政策改革.
- 实施这些策略可以改善孕产妇和新生儿的健康状况.
- 基于证据和安全的分娩护理,必须采用多学科的方法,最终降低医疗保健成本.
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