马来西亚产后出血负担,管理和挑战:全面审查和专家建议,有效管理
Mukhri Hamdan1, Carol Lim2, Boon Nee Tang3
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, MYS.
Cureus
|September 15, 2025
概括
东南亚的产后出血 (PPH) 管理面临着由于诊断和文化因素不一致的挑战. 标准化协议和改进的培训对于减少PPH产妇死亡率至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 产后出血 (PPH) 是东南亚,特别是马来西亚孕产妇发病和死亡的主要原因.
- 现有的PPH管理策略显示出重要的区域差异和挑战.
研究的目的:
- 系统地审查和识别东南亚产后出血管理中的挑战和缺口.
- 在资源有限的环境中为PPH制定标准化协议和基于证据的疗法提供信息.
主要方法:
- 从2013年1月到2023年1月的英语文学范围审查.
- 在PubMed和谷歌学者进行了搜索,包括东南亚的观察和临床研究.
主要成果:
- 不一致的诊断标准,不良的血液损失估计和有限的医疗保健提供者/患者意识阻碍了PPH管理.
- 文化因素影响寻求医疗行为的行为,对标准疗法的治疗反应是可变的.
- 子宫,保留的胎盘和胎盘增生谱系障碍使PPH病例复杂化.
结论:
- 在东南亚地区迫切需要标准化PPH诊断标准和治疗方案.
- 加强医疗保健提供者培训,改进报告系统和采用新疗法是必不可少的.
- 要在资源有限的环境中解决PPH负担,需要采用多方面的方法.
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