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FIGO的良好实践建议:辅助阴道分娩和分娩的第二阶段
Akaninyene E Ubom1,2, Eytan R Barnea3,4, Nicoletta DiSimone5,6,7
1Department of Obstetrics and Gynecology, PAMO University of Medical Sciences, Port Harcourt, Nigeria.
概括
在全球范围内,剖腹产产率正在上升. 提高辅助性阴道分娩 (AVB) 率,通过培训提供者和改善实践,可以帮助减少剖腹产并提高母亲的安全.
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:
- 全球剖腹产出生率 (CB) 正在惊人增加,预计到2030年将达到28.5%.
- 相反,辅助性阴道分娩 (AVB) 率在全球范围内正在下降,特别是在低收入和中等收入国家 (LMICs).
- 降低AVB与技能差距,设备短缺,诉讼恐惧和关于CB安全的误解有关.
研究的目的:
- 审查关于AVB的现有证据,并提供优化其实践的建议.
- 突出增加AVB的潜力,以减少高CB率并提高孕产妇安全.
- 解决优化出生方式决策的公共卫生优先事项.
主要方法:
- 关于辅助性阴道分娩 (AVB) 的当前最佳证据的全面审查.
- 制定良好实践建议,包括指示,先决条件和仪器选择.
- 包括管理特殊情况的指导和AVB安全检查清单.
主要成果:
- 与阴道分娩相比,剖腹产与明显更高的发病率和死亡率有关.
- 优化AVB可能会降低CB率,从而提高产妇安全.
- 提供AVB安全检查清单以减轻并发症风险.
结论:
- 所有产妇护理人员和熟练的助产士都应该接受培训,并具备执行AVB的能力.
- 提高AVB技能和实践对于打击剖腹产流行病至关重要.
- 增加AVB可以导致减少与剖腹产相关的孕产妇死亡率和发病率.
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