两种产后采血设备:助产士和产妇对胸罩 V 型帘布和 MaternaWell 托盘的体验--基于问卷的随机研究。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Obstetrics and Gynecology International Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI:10.1155/2024/6605833
Jade Esau, Timothy Morris, Chris Muller, Christine Els, Liesl de Waard
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引用次数: 0

摘要

背景:产后出血是全球可预防的孕产妇死亡的主要原因。早期识别和及时处理产后出血可改善预后。客观评估产后失血量是识别产后出血的重要步骤。Brass-V 帷幔和 MaternaWell 盘是为常规测量产后失血量而设计的。但这些设备在产妇和助产士心目中的实用性和可接受性仍有待探讨:目的:评估在收集产后失血量时,Brass-V 纱巾和 MaternaWell 盘的实用性和易用性:我们进行了一项前瞻性平行随机试验,采用问卷调查的方式对使用这些设备的助产士和产妇的经验进行评估。这项研究在开普敦卡耶利沙(Khayelitsha)的 B 助产士产科病房进行。研究人员与早产孕妇进行了自愿接触。在获得知情同意后,参与者被随机分配到Brass-V帘布或MaternaWell托盘,由助产士在婴儿出生后放置:结果:共有 63 名参与者,其中 33 人被分配到 MaternaWell 托盘,30 人被分配到胸罩 V 型帘布。助产士表示希望在今后的分娩中使用 MaternaWell 托盘(30 人(90%))或胸罩-V(26 人(87%))。产妇也赞成今后使用 MaternaWell 托盘(33 人(100%))和黄铜 V 型产妇巾(28 人(93%))。黄铜 V 型帘布更易于测量,而 MaternaWell 托盘更易于放置。五名参与者(8%)出现产后大出血,其中两人使用了 MaternaWell 托盘,三人使用了黄铜 V 型帘布。一名产妇需要转院:结论:助产士和产妇的反应是积极的。MaternaWell 托盘具有重复使用和成本较低的优点,是可接受的胸罩-V 俯卧撑的替代品。这两种设备都有助于早期识别产后出血。
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Two Postpartum Blood Collection Devices: The Brass-V Drape and MaternaWell Tray-As Experienced by Birth Attendants and Birthing Women-A Questionnaire-Based Randomised Study.

Background: Postpartum haemorrhage is the leading cause of preventable maternal mortality worldwide. Early identification and prompt management of postpartum haemorrhage improve outcomes. Objective assessment of postpartum blood loss is an important step in identifying postpartum haemorrhage. The Brass-V drape and MaternaWell tray have been designed for routine measurement of postpartum blood loss. The perceived utility and acceptability of these devices to the parturients and birth attendants still begged exploring.

Objective: To assess the perceived usefulness and ease of use of a Brass-V drape versus a MaternaWell tray for the collection of postpartum blood loss.

Methods: We conducted a prospective parallel randomised trial, employing a questionnaire to assess the experiences of birth attendants and birthing women who used these devices. The study was conducted at site B midwife obstetric unit in Khayelitsha Cape Town. Pregnant women presenting in early labour were approached for voluntary participation. After informed consent was obtained, participants were randomly assigned to the Brass-V drape or the MaternaWell tray, which the birth attendant placed after the birth of the baby.

Results: There were 63 participants, of which 33 were assigned to the MaternaWell tray and 30 to the Brass-V drape. Birth attendants indicated a desire to use the MaternaWell tray (30 (90%)) or Brass-V drape (26 (87%)) in future deliveries. The parturients were also in favour of the future use of MaternaWell tray (33 (100%)) and Brass-V drape (28 (93%)). Ease of measurement favoured the Brass V-drape, and ease of placement favoured the MaternaWell tray. Five (8%) participants experienced postpartum haemorrhage, two with the MaternaWell tray and three with the Brass-V drape. One parturient required hospital transfer.

Conclusion: The responses of the birth attendants and parturients were positive. The MaternaWell tray has the benefit of reuse and lower cost and is an acceptable alternative to the Brass-V drape. Both devices aid in the early recognition of postpartum haemorrhage.

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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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