紧接着产后期进行自我评估的关键标志和症状:国际系统范围审查和德尔菲共识研究
Teesta Dey1, Nada Bassiony2, Angela Hancock3
1University of Liverpool, Liverpool, United Kingdom. Teesta.dey@liverpool.ac.uk.
BMC pregnancy and childbirth
|March 29, 2025
概括
立即产后护理 (iPNC) 是至关重要的,因为大多数母亲的死亡发生在出生后的24小时内. 这项研究确定了19个关键的自我评估的迹象和症状,以帮助母亲和伴侣监测母亲的发病率和死亡率风险.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 孕产妇死亡率仍然是一个重要的全球卫生问题,高比例的死亡发生在产后24小时内.
- 立即产后护理 (iPNC) 对于母亲的生存和福祉至关重要.
- 目前的自我护理策略缺乏在产后早期自我监测关键迹象和症状的具体工具.
研究的目的:
- 发展并达成国际共识,对预测孕产妇发病率和死亡率的关键迹象和症状.
- 为了识别在分娩后的直接时期,母亲和分娩伴侣在没有设备的情况下可以轻松评估的迹象和症状.
主要方法:
- 采用了多步骤的方法,包括对临床实践指南的系统范围审查.
- 与国际专家一起进行了两轮的Delphi调查.
- 专家达成共识,最终确定了关键迹象和症状的清单.
主要成果:
- 最初从44条指南中确定了351个迹象和症状的综合清单.
- 德尔菲的受访者审查了134个迹象和症状.
- 国际专家达成共识,在七个疾病类别中对19个关键症状和症状达成共识,这些症状被认为是重要的和可以自我评估的.
结论:
- 该研究成功地确定了必要的,可以自我评估的症状和体征,以便立即进行产后监测.
- 这些发现为开发查工具提供了基础,以确定患病和死亡风险高的母亲.
- 需要进一步的研究来验证和区域/国家调整查工具.
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