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集体忘记美国的阴道部分娩
Tzipy Lazar-Shoef1, Noah Jonathan Efron1, Nadav Davidovitch2
1Bar-Ilan University, Israel.
计划式剖腹产在2000年术后成为腹分娩的标准. 然而,这种转变是由于数十年来阴道产量下降和非手术技术的"集体遗忘"造成的.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 外科手术的结果
背景情况:
- 自20世纪50年代以来,由于感知到的风险,阴道产率大幅下降.
- 增加剖腹产推为部呈现成为常见的做法.
- 医院和培训计划在很大程度上放弃了非手术腹分娩技能.
研究的目的:
- 调查导致阴道产数量下降的历史因素.
- 分析期内试验对当前产科实践的影响.
- 了解医疗程序中的"集体遗忘"现象.
主要方法:
- 从20世纪50年代开始对部分娩管理研究的文献综述.
- 剖腹产产率趋势的分析.
- 检查期内部试验 (2000年) 对临床决策的影响.
主要成果:
- 阴道腹分娩的下降早于术期腹试验,这是由于几十年来对剖腹产的倡导所推动的.
- 期限突破审判加强了现有的做法,而不是启动转变.
- 一个小小的东西.
- 集体的遗忘 集体的遗忘
- 由于培训和实践的减少,发生了非手术腹分娩技能.
结论:
- 对剖腹产的广泛依赖是实践中长期演变的结果,而不仅仅是长期剖腹产试验.
- 产科医生面临着管理部表现的困境,原因是阴道分娩专业知识的历史下降.
- 了解这一历史背景对于重新评估当前的产管理策略至关重要.
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