实施产前早产干预措施:一个范围审查
Etoroabasi Ekpe1, Jason Collier2, Benjamin H Chi3
1Department of Obstetrics and Gynecology, Global Women's Health and Equity, University of Toronto; Toronto, ON, Canada.
概括
实施产前早产干预措施需要了解卫生系统的能力. 本综述综合了实施科学策略,以改善转诊和干预使用,提高新生儿结果.
科学领域:
- 产科和妇科 产科和妇科
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 产前建议对于预防早产并发症至关重要.
- 对这些干预措施的实施存在有限的综合性.
- 卫生系统的能力和系统因素影响干预的利用.
研究的目的:
- 综合实施关于早产干预的科学研究.
- 确定增加转诊机制到更高的护理水平的策略.
- 绘制出产前皮质类固醇,硫酸和抗生素的实施情况.
主要方法:
- 实施科学战略的范围审查.
- 使用关键词搜索在线数据库.
- 使用RE-AIM框架和MMAT评估了13项研究.
主要成果:
- 研究来自12个国家,主要是低收入国家.
- 干预措施包括熟练的助产士,转诊系统和社区卫生工作者.
- 实施策略的重点是提高对基于证据的实践的认识和知识.
结论:
- 实施研究改善了产前皮质类固醇和硫酸的使用.
- 社区卫生工作者,熟练的助产士和转诊系统可以减少早产并发症.
- 进一步实施科学研究可以将基于证据的知识纳入实践.
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