Obstetric and Gynecology of Nursing, Assiut University, Egypt.
Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt.
Appl Nurs Res. 2018 Feb;39:175-181. doi: 10.1016/j.apnr.2017.11.003. Epub 2017 Nov 10.
Maternal deaths remain high, numbers at the facility level are relatively low.
To evaluate effect of management guidelines on occurrence of maternal near miss in Women's Health Hospital.
A cross-sectional study.
ICU of Women's Health Hospital's at Assiut Main University Hospital and Al-fayoum University Hospital.
Convenient sample of 93 maternal near-miss cases including (Pregnancy or postpartum complications). TOOL: audit the applied critical care for severe condition related to obstetric complications and consist of three parts: Patient's demographic data, Audit of critical care and "Maternal near-miss" Fate. Data collected during a period of 1/3/2015 to 30/8/2015 for management guidelines and maternal outcomes.
A statistical significant differences between the medical management and occurrence of sever maternal complications such as (severe postpartum hemorrhage, severe pre-eclampsia, Sepsis or severe systemic infection, uterine hemorrhage, ruptured uterus) (P=0.000, P=0.031, P=0.036, P=0.052, P=0.012 respectively).
The maternal management guidelines was a successful tool in recording the gap between the current received management and standards management guidelines in ICU. Also they measure the effect of current management in ICU on maternal mortality and morbidity.
产妇死亡率仍然很高，机构层面的数字相对较低。
评估管理指南对妇女健康医院产妇近死产发生率的影响。
横断面研究。
Assiut 大学总医院和法尤姆大学医院妇女健康医院的 ICU。
方便选取的 93 例产妇近死产病例，包括（妊娠或产后并发症）。
审核与产科并发症相关的严重情况的重症监护应用情况，并包括三个部分：患者的人口统计学数据、重症监护审核和“产妇近死产”结局。数据收集于 2015 年 3 月 1 日至 2015 年 8 月 30 日期间，用于管理指南和产妇结局。
医疗管理与严重产妇并发症（如严重产后出血、严重子痫前期、败血症或严重全身感染、子宫出血、子宫破裂）的发生之间存在统计学显著差异（P=0.000、P=0.031、P=0.036、P=0.052、P=0.012）。
产妇管理指南是一种成功的工具，可记录 ICU 中当前接受的管理与标准管理指南之间的差距。它们还衡量了 ICU 中当前管理对产妇死亡率和发病率的影响。
