高危妊娠的产前麻醉评估：英国实践调查
Antenatal anaesthetic assessment of high-risk pregnancy: a survey of UK practice.
作者信息
Rai M R, Lua S H, Popat M, Russell R
机构信息
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK.
出版信息
Int J Obstet Anesth. 2005 Jul;14(3):219-22. doi: 10.1016/j.ijoa.2005.01.003.
BACKGROUND
Anaesthetists are frequently involved in the management of high-risk pregnancy. Antenatal referral permits time to prepare an appropriate management plan for labour and delivery. This survey looked at current methods of referral in the UK and the role of a formal clinic.
METHOD
A postal questionnaire was sent to lead consultant anaesthetists of 256 UK obstetric units enquiring into methods of referral for high-risk pregnancy.
RESULTS
Replies were received from 196 units (response rate 77%). Only 30% of units that responded ran a formal anaesthetic pre-assessment clinic, the remaining 70% relying on ad hoc referrals of high-risk cases. Larger units were more likely to run formal clinics. Some units wishing to introduce a formal clinic had not been able to do so because of financial constraints.
CONCLUSION
Most hospitals were satisfied with current arrangements for referral of high-risk pregnancy. A mechanism for anaesthetic referral of high-risk pregnancy is vital, but in many units is not via a formal clinic.
背景
麻醉医生经常参与高危妊娠的管理。产前转诊能争取时间为分娩制定合适的管理计划。本次调查研究了英国目前的转诊方法以及正规诊所的作用。
方法
向英国256个产科单位的首席麻醉顾问发送了邮政调查问卷，询问高危妊娠的转诊方法。
结果
收到了196个单位的回复（回复率77%）。回复的单位中只有30%设有正规的麻醉预评估诊所，其余70%依赖高危病例的临时转诊。规模较大的单位更有可能开设正规诊所。一些希望开设正规诊所的单位由于资金限制而未能实现。
结论
大多数医院对目前高危妊娠的转诊安排感到满意。高危妊娠的麻醉转诊机制至关重要，但在许多单位并非通过正规诊所进行。
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