孕前护理减少了选择高风险人群的自发早产风险:一项前性研究
Gillian A Corbett1,2, Larissa Luethe2, Aoife McEvoy1
1National Maternity Hospital, Dublin, Ireland.
概括
在高风险怀孕中,预孕咨询显著减少了早产早产 (<32周). 这种干预措施也增加了选择高风险妇女的腹部围圈的使用.
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
- 生殖健康 生殖健康
背景情况:
- 预防早产 (PTB) 是一个关键的临床挑战.
- 孕前咨询为高风险怀孕提供了一个主动的策略.
- 在怀孕之前识别和减轻PTB风险因素至关重要.
研究的目的:
- 评估产前咨询对高风险女性PTB发病率的影响.
- 评估经概念前咨询后管理策略的变化.
- 为了确定产前辅导是否能改善后续怀孕的结果.
主要方法:
- 对97名在第三级PTB诊所接受孕前咨询的妇女进行前性研究 (2018-2023年).
- 怀孕前咨询和没有怀孕前咨询的妇女之间的怀孕结果的比较.
- 基于特定的PTB风险因素的敏感性分析.
主要成果:
- 产前辅导导致腹部围率显著上升 (36.2%对3.4%).
- 没有整体减少PTB (<37或<34周) 或中期期末损失.
- 在高风险患者中,辅导减少了早期PTB (<32周) 的18.8% (P=0.044) 和增加了腹部带的使用 (26.3%).
结论:
- 在特定高风险人群中,孕前咨询是有效的减少早期PTB.
- 这项干预措施有助于采取预防措施,如腹部围圈.
- 针对性的孕前护理可以显著改善女性的结果,具有极端PTB的历史或中期损失.
更多相关视频
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
26.8K
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
11.5K
相关概念视频
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
180
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
180
Levels of Health Promotion and Illness Prevention
13.3K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.3K
Standard Precaution
2.2K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.2K
