患者和提供者之间围绕产科出血的态度和做法
Joaquin A Calderon1, Savita Potarazu2, Jaclyn M Phillips1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, George Washington University, Washington, DC, USA.
Journal of neonatal-perinatal medicine
|February 28, 2025
概括
患者和医疗服务提供者对产后出血风险因素和预防的知识缺口. 然而,大多数患者愿意接受预防性药物治疗,这凸显了在管理这种危急病情时需要共享决策的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 管理出血 管理出血
背景情况:
- 产后出血 (PPH) 是全球主要的孕产妇死亡率和发病率的原因.
- 在提供者识别和管理PPH风险因素方面存在显著差异.
- 关于患者意识和参与PPH预防和决策的数据有限.
研究的目的:
- 确定患者和医疗保健提供者在PPH预防和管理方面的教育差距.
- 优化策略以减少与PPH相关的孕产妇发病率和死亡率.
主要方法:
- 进行了一项横截面的匿名调查.
- 调查分发给产科患者和医疗保健提供者.
- 从2022年11月到2023年6月,在一个产科中心收集了数据.
主要成果:
- 84%的参与者缺乏知识或不确定PPH风险因素.
- 55%的患者"很可能"和28%"有点可能"接受PPH的预防药物治疗.
- 73%的医疗服务提供者表示有信心在PPH治疗中使用tranexamic acid.
结论:
- 在孕妇中,关于PPH风险因素和预防药物的知识差距很大.
- 患者表现出很高的意愿接受预防性药物治疗PPH.
- 患者和提供者之间的共同决策对于有效的PPH预防和管理策略至关重要.
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