直接的皮肤接触和产后出血性发病率
Rachel L Wiley1, Ipsita Ghose2, Dana R Canfield1
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California san Diego, San Diego, California, USA.
直接皮肤接触 (SSC) 在阴道分娩中显著降低了产后出血 (PPH) 发病率. 早期母亲与新生儿的接触是PPH预防的可访问干预措施.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿护理 新生儿护理
- 孕产妇健康 孕产妇健康
背景情况:
- 产后出血 (PPH) 仍然是全球孕产妇发病的主要原因.
- 皮肤与皮肤直接接触 (SSC) 在缓解PPH方面的作用尚未完全理解.
研究的目的:
- 调查皮肤直接接触 (SSC) 和产后出血 (PPH) 发病率之间的关联.
- 为了比较PPH相关的孕产妇发病率在患者和没有立即的SSC.
主要方法:
- 在两年内对单期阴道分娩进行回顾性队列研究.
- 立即的SSC定义为≥60分钟的接触在出生后10分钟内.
- 多变量波桑回归用于分析与PPH相关的复合孕产妇发病率.
主要成果:
- 立即的SSC与复合PPH发病率的总体率降低有关 (aRR为0.78).
- 显著的血液损失,额外的子宫激素和机械吸水率在立即SSC时较低.
- 劳动第三阶段的持续时间和血液流失随着即时的SSC显著减少.
结论:
- 产后阴道分娩中的即时SSC与PPH显著下降有关.
- 促进母亲与新生儿的早期接触可以提高SSC的普及率,并作为全球可访问的PPH干预措施.
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