产前保健的风险分层和层次结构。

Risk stratification and hierarchy of antenatal care.

机构信息

St Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9WL, UK and Institute of Human Development, Faculty of Medical and Human Sciences, University of Manchester.

Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester M13 9WL and Institute of Cardiovascular Sciences, Faculty of Medical and Human Sciences, University of Manchester, UK.

出版信息

Best Pract Res Clin Obstet Gynaecol. 2014 May;28(4):483-94. doi: 10.1016/j.bpobgyn.2014.03.004. Epub 2014 Mar 18.

DOI:10.1016/j.bpobgyn.2014.03.004

PMID:24726852

Abstract

Cardiac disease is the leading cause of maternal death in the UK. The triennial maternal mortality reports have repeatedly highlighted failure to recognise the level of risk as a major contributing factor to the deaths of these women. Once the level of risk has been recognised, services then need to be organised in a way that supports the needs of the highest risk women, but avoids unnecessary intervention for women at lower risk. Risk scoring systems and lesion-specific indicators may help predict maternal and neonatal outcomes. Care can then be planned accordingly, to optimise the outcome for the woman and her baby.

摘要

心脏病是英国孕产妇死亡的主要原因。三年一次的孕产妇死亡率报告一再强调，未能识别风险水平是导致这些妇女死亡的一个主要因素。一旦识别出风险水平，就需要以支持风险最高的妇女需求的方式组织服务，但避免对低风险妇女进行不必要的干预。风险评分系统和特定病变指标可能有助于预测母婴结局。然后可以相应地计划护理，以优化妇女及其婴儿的结局。