计划的社区分娩和分娩结果
Marion E Granger Howard1, Ciaran S Phibbs2,3, Scott Lorch4,5
1Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia.
JAMA pediatrics
|November 24, 2025
概括
计划的社区分娩,包括转移,与计划的医院分娩相比,与较低APGAR分数和呼吸机支持等不良围产结果的可能性更高有关. 完成的社区分娩表明干预风险降低.
科学领域:
- 产科和妇科 产科和妇科
- 围产期健康 围产期健康
- 公共卫生 公共卫生
背景情况:
- 在医院之外发生的社区分娩,在发生转移时经常被不准确地记录为医院分娩.
- 俄勒冈州对计划分娩地点的独特跟踪提供了研究与计划分娩设置相关的围产期结果的机会.
研究的目的:
- 在俄勒冈州调查计划分娩地点 (医院与社区) 与围产期结果之间的关联.
- 为了区分完成的社区分娩与转移到医院的社区分娩的结果.
主要方法:
- 在俄勒冈州 (2012-2020年) 基于人口的单体,非座婴儿出生于怀孕37周至44周之间的队列研究.
- 分析将计划的医院分娩与计划的社区分娩进行了比较 (包括家庭/分娩中心分娩和医院转移).
- 使用调整后勤回归和倾向得分分析来评估与各种围产期结局的关联.
主要成果:
- 在348,641个分娩中,95.3%是计划的医院分娩,4.7%是计划的社区分娩 (14.7%的分娩涉及转移).
- 计划社区分娩显示,与计划医院分娩相比,5分钟APGAR分数低于7和呼吸机支持的几率更高.
- 转移分娩增加了不良结果和干预的几率,而完成社区分娩的干预率较低.
结论:
- 完成的社区分娩与大多数不良周产期结果无关,并且干预率较低.
- 转移社区分娩与更高的不良周产期结果和干预的几率有关.
- 准确分类出生地点至关重要;错误分类可能会掩盖与计划社区分娩相关的风险.
更多相关视频
09:04Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
Published on: September 10, 2018
10.0K
06:11Author Spotlight: Exploring the Long-Term Health Impacts of Intracytoplasmic Sperm Injection on Offspring
Published on: May 17, 2024
1.0K
相关概念视频
Population Growth
27.7K
Population size is dynamic, increasing with birth rates and immigration, and decreasing with death rates and emigration. In ideal conditions with unlimited resources, populations can increase exponentially, which plots as a J-shaped growth rate curve of population size against time. This type of curve is characteristic of newly-introduced invasive species, or populations that have suffered catastrophic declines and are rebounding.
27.7K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Planning Nursing Care II
3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K
What are Populations and Communities?
36.9K
Overview
36.9K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Guidelines for Writing Outcome
3.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.6K
