准则编号 准则编号 第465章 产科关节损伤 (OASI) 第二部分:关于后续分娩方式的长期管理和咨询
Maria Giroux1, Alison Carter Ramirez2, Sinead Dufour3
1Regina, SK.
概括
产科关节损伤 (OASI) 的长期管理需要及时获得专业护理,包括专门的诊所和骨盆健康物理治疗. 公平获得这些服务对于改善结果和为未来的交付决策提供信息至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 盆腔健康 盆腔健康
- 外科手术的结果
背景情况:
- 产科关节损伤 (OASI) 可以导致长期的显著的身体和情绪痛苦.
- 目前的管理策略和OASI的后续护理需要优化.
- 专门的诊所和专门的物理治疗被认为是康复的重要组成部分.
研究的目的:
- 为患有OASI的妇女提供长期管理的最新建议.
- 描述OASI患者专用随访诊所的作用和影响.
- 关于OASI后后续交付模式的咨询和共享决策的新算法.
主要方法:
- 从2014年到2025年,对已发表的研究进行系统审查.
- 在主要医疗数据库 (PubMed,MEDLINE,Embase等) 进行的搜索. ) 的情况.
- 使用GRADE方法评估证据质量和建议强度.
主要成果:
- 及时获得专门护理,包括骨盆健康理疗,对于减轻OASI负担至关重要.
- 专门的后续诊所可以改善康复和长期的结果.
- 公平获得护理,无论地理位置或经济状况如何,是迫切需要的,建议采用远程医疗等创新模式.
结论:
- 为OASIs的长期管理提供了建议.
- 强调专用诊所和可访问的专业服务的重要性.
- 提供了新的指导,以咨询妇女在OASI后未来的分娩方式.
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