卫生专业人员对母亲要求剖腹产的态度:一个全面的审查
1Rotunda Hospital, Dublin, Ireland.
Birth (Berkeley, Calif.)
|November 11, 2025
概括
医疗保健专业人员 医疗保健专业人员
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 全球剖腹产产率的上升需要基于证据的实践.
- 世卫组织的指导方针建议将剖腹产 (CB) 限制在10%-15%.
- 母亲要求剖腹产 (MRCB) 的比率在全球范围内有所不同,平均为3%.
研究的目的:
- 探索卫生专业人员对母亲要求剖腹产 (MRCB) 的态度.
- 总结关于MRCB的现有证据.
- 识别有关MRCB的知识差距.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行了范围审查.
- 在四个数据库 (CINAHL,Medline,PsycInfo,Web of Science) 进行了搜索,截至2024年10月.
- 包括48项定量,定性和混合方法研究.
主要成果:
- 卫生专业人员愿意进行MRCB的意愿因国家而异.
- 执行MRCB的理由是多因素的,包括道德和法律方面的考虑.
- 卫生专业人员对CB的个人选择与他们对患者进行MRCB的理由不同;助产士没有将毒害恐惧视为有效的理由.
结论:
- 建议对MRCB率进行准确的全球报告,并制定具体指导方针.
- 加强卫生专业人员的辅导教育可以改善共享决策.
- 需要对非医学干预措施进行进一步的研究,以应对不断上升的MRCB率.
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