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剖腹产培训的现实实践:一个横截面研究,比较高收入和中低收入国家

Liesl de Waard¹, Elize Archer², Kathryn Chu³

¹Department of Obstetrics and Gynaecology, Stellenbosch University, Cape Town, South Africa.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|December 3, 2025

概括

全球剖腹产培训在高收入国家 (HIC) 和低收入和中等收入国家 (LMIC) 之间存在很大差异. 参与者倡导正式的培训计划,以提高全球的CS质量和安全.

科学领域:

全球健康全球健康
医学教育医学教育
进行外科手术培训.

背景情况:

剖腹产 (CS) 是一个关键的外科手术程序,在全球范围内培训标准各不相同.
在高收入国家 (HIC) 和低收入和中等收入国家 (LMIC) 之间,CS培训实践存在差异.

研究的目的:

识别和描述全球剖腹产 (CS) 培训实践.
为了比较HC和LMIC之间的CS培训.

主要方法:

融合平行混合方法研究,使用横截面调查.
通过专业网络和社交媒体分发的调查;参与是自愿和匿名的.

主要成果:

来自42个国家的411名参与者 (42%的HIC,58%的LMIC) 被纳入.
与HIC相比,LMIC参与者每年执行更多的CS,但监督病例较少,并在培训期间报告了较高的并发症率.
在LMIC (9%) 和HIC (22%) 中,正式能力评估明显较低,大多数培训依赖于非正式的反和学徒模式.

结论:

在CS培训实践和成果方面,HIC和LMIC之间存在显著的差异.
虽然患者和系统因素影响CS结果,但培训是可修改的组成部分.
参与者强烈支持正式的,基于证据的教育实践,以提高全球CS质量和安全.

关键词:

评估评估的评估评估的评估.剖腹产是剖腹产的一部分.教育教育教育教育的教育.有关反的意见反反反培训培训培训培训培训培训培训

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