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产科医生如何体验死产和产周损失:系统性审查和元综合

Frances Cates¹, Sara Wetzler^2,3, Tabitha Wishlade⁴

¹Department of Liberal Arts (Cates), University of Texas at Austin, Austin, Texas.

AJOG global reports

|March 26, 2025

概括

在全球范围内,产科医生在照顾死产和产周损失的父母时面临着巨大的情感负担和挑战. 改进的培训和支持系统对于他们的福祉和提高丧亲护理质量至关重要.

科学领域:

围产儿医学围产儿医学
产科和妇科产科和妇科
质量健康研究质量健康研究

背景情况:

每年有数以百万计的婴儿死产,不成比例地影响低收入和中等收入国家.
了解产科医生为死产和产周损失提供护理的经验至关重要.

研究的目的:

全球综合对产科医生在死产和产周损失护理方面的经验进行定性研究.
确定与情绪负担,患者与提供者互动以及支持需求相关的关键主题.

主要方法:

在多个数据库 (Medline,Embase,CINAHL,PsychINFO,Scopus,Web of Science,ASSIA) 中进行系统搜索.
包含描述产科医生对死产护理经验的定性研究.
使用CASP检查清单进行质量评估,使用NVivo软件进行主题分析.

主要成果:

综合了来自不同环境的13项定性研究.
产科医生报告说,有相当大的情绪负担,包括毁灭,内和自我怀疑.
挑战包括管理患者的期望和复杂的悲伤互动,往往由于缺乏准备和资源而加剧.

结论:

产科医生经历了深刻的情感痛苦和高负担的护理在死产的情况下.
全球急需加强对产科医生丧亲护理的培训和支持系统.
投资这些领域对于改善医疗质量和留住医疗保健提供者至关重要.

关键词:

高风险的怀孕是高风险的怀孕孕产妇和胎儿医学产科医生经验丰富的经验.产前损失是产周损失.定性研究是一种定性研究.一个死产的死亡.系统性审查系统性审查

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