2022年在奥洛穆茨大学医院妇产医院登记孕妇(最佳时间为36 -37周)。

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI:10.48095/cccg2023242
Marek Ľubušký, Veronika Durdová, Tereza Kratochvílová, Michaela Maděrková Tozzi, Kateřina Campsie, Alexandra Šinská, Eliška Hostinská, Martina Studničková, Renata Černohouzová, Martin Knápek, Zdeněk Kabátek, Miroslav Jankůj, Ladislav Dušek, Jitka Jírová, Radovan Pilka
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引用次数: 0

摘要

目的:本研究的目的是分析奥洛穆茨大学医院(OUH)作为门诊/流动医疗保健的一部分,在妇产医院(最理想的是在第36 -37周)对孕妇实施新的医疗服务登记的结果。材料和方法:前瞻性队列研究。2022年,共有2,271名妇女在OUH分娩,其中2,010名妇女在妇产医院登记,确定了具体的风险,并制定/确定了终止妊娠战略。结果:88.5%的产妇(2,010/2,271)获得了保健服务。母亲年龄15 ~ 56岁,平均31.3岁;中位31岁),体重指数为13.4 ~ 53.1 kg/m2(平均24.6 kg/m2;中位数23.2 kg/m2)。其中43.6%(877/ 2010)为低风险妊娠,56.4%(1133 / 2010)为具有明确特定风险的妊娠。最常见的危险因素是:RhD阴性血型(18.4%)、糖尿病(13.9%)、剖腹产史(12.0%)、高血压疾病(6.5%)、小胎/胎儿生长受限(6.3%)、胎儿和新生儿溶血性疾病(2.5%)、多胎妊娠(1.6%)、胎儿先天性畸形(1.3%)和胎盘障碍(0.5%)。其中63.4%(1275 / 2010)的终止妊娠策略是阴道自然分娩,18.0%(361/ 2010)的终止妊娠策略是阴道引产,14.2%(285/ 2010)的终止妊娠策略是剖腹产。在4.4%(89/ 2010)国家,由于没有制定战略,保健服务没有得到正确实施。结论:新的保健服务的实施将有可能以效率(风险识别、确定门诊/门诊产前护理的最佳策略以及分娩时间和方式)取代活动(更频繁的产前护理接触/访问和常规产前心脏摄影),从而提供更好和更安全的保健(从医疗、组织、立法和经济角度)。
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Registration of a pregnant woman in the maternity hospital (optimally at 36th-37th weeks) at the Olomouc University Hospital in 2022.

Objective: The aim of the study was to analyse the results of the implementation of the new health service Registration of a pregnant woman in the maternity hospital (optimally at 36th-37th weeks) provided as part of outpatient/ambulatory health care at Olomouc University Hospital (OUH).

Materials and methods: A prospective cohort study. In 2022, a total of 2,271 women gave birth in OUH, and 2,010 of them were Registered in the maternity hospital, defined specific risks were identified and a pregnancy termination strategy was established/determined.

Results: The health service was provided to 88.5% of women giving birth (2,010/2,271). The age of the mothers was 15-56 years (mean 31.3 years; median 31 years), their body mass index was 13.4-53.1 kg/m2 (mean 24.6 kg/m2; median 23.2 kg/m2). 43.6% of them (877/2,010) were Low-risk pregnancies and 56.4% (1,133/2,010) were Pregnancies with a defined specific risk. The most frequently identified risks were as follows: RhD negative blood group (18.4%), diabetes mellitus (13.9%), history of caesarean section (12.0%), hypertensive disorders (6.5%), small fetus/fetal growth restriction (6.3%), risk the development of hemolytic disease in the fetus and the newborn (2.5%), multiple pregnancy (1.6%), congenital malformation of the fetus (1.3%) and placentation disorders (0.5%). In 63.4% of them (1,275/2,010), the pregnancy termination strategy was determined by spontaneous vaginal delivery, in 18.0% (361/2,010) by pre-induction of vaginal delivery and in 14.2% (285/2,010) by caesarean section. In 4.4% (89/2,010) the health service was not implemented correctly because no strategy was established.

Conclusion: The implementation of the new health service will make it possible to replace activity (more frequent antenatal care contacts/visits and routine antenatal cardiotocography) with efficiency (risk identification, determination of the optimal strategy for outpatient/ambulatory antenatal care and timing and mode of delivery) and thereby provide better and safer health care (from a medical, organizational, legislative and economic points of view).

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来源期刊
Ceska Gynekologie-Czech Gynaecology
Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-
CiteScore
0.60
自引率
25.00%
发文量
57
期刊最新文献
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