混合孕产妇护理和对妊娠结果的影响:系统性审查和元分析
Elena D'Alberti1,2, Antonella Giancotti1, Moshe Hod3,4
1Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Clinical obstetrics and gynecology
|January 6, 2026
概括
混合产前护理模型,整合面对面和远程访问,显示与传统护理相比的孕产妇和产周结果. 然而,混合模型与剖腹产分娩率略有增加有关.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 传统的产前护理涉及到日常的面对面访问.
- 越来越多的人对混合模式的兴趣越来越大,这种模式结合了面对面和远程护理.
- 评估混合模型的安全性和有效性对于现代产妇护理至关重要.
研究的目的:
- 系统地评估混合产前护理对不良产周和产妇结果的影响.
- 将混合护理模式与传统产前护理进行比较.
- 为了确定死产,胎儿生长,早产,孕前和分娩模式的潜在差异.
主要方法:
- 对比混合和传统产前护理的研究进行系统审查和元分析.
- 在 MEDLINE,CINAHL,Scopus,ClinicalTrials.gov 和 Cochrane 图书馆进行了搜索,截至 2025 年 11 月 8 日.
- 使用随机效应模型计算了具有95%置信区间 (CI) 的聚合赔率比率 (OR).
主要成果:
- 包括8项涉及159,303例怀孕的研究.
- 在死产,比孕期年龄小/胎儿生长限制,早产,有严重特征的妊娠前或新生儿重症监护室入院方面没有发现显著差异.
- 在混合产前护理中观察到剖腹产率的显著增加 (OR: 1.08;95% CI: 1.02-1.13).
结论:
- 混合产前护理模型可以实现与标准护理相比较的孕产妇和产前护理结果.
- 观察到的剖腹产增加需要进一步调查.
- 专注于道德,公平和标准化的负责任实施可能会重塑产妇护理.
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