Lagrew David C, Low Lisa Kane, Brennan Rita, Corry Maureen P, Edmonds Joyce K, Gilpin Brian G, Frost Jennifer, Pinger Whitney, Reisner Dale P, Jaffer Sara
J Midwifery Womens Health. 2018 Mar;63(2):235-244. doi: 10.1111/jmwh.12738. Epub 2018 Feb 22.
Cesarean births and associated morbidity and mortality have reached near epidemic proportions. The National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care responded by developing a patient safety bundle to reduce the number of primary cesarean births. Safety bundles outline critical practices to implement in every maternity unit. This National Partnership for Maternity Safety bundle, as with other bundles, is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. Bundle components may be adapted to individual facilities, but standardization within an institution is advised. Evidence-based resources and recommendations are provided to assist implementation.
剖宫产分娩及其相关的发病率和死亡率已接近流行程度。在妇女保健患者安全委员会的指导下，国家孕产妇安全合作组织通过制定一项患者安全综合措施来应对，以减少首次剖宫产分娩的数量。安全综合措施概述了每个产科单位应实施的关键做法。与其他综合措施一样，这项国家孕产妇安全合作组织的综合措施分为四个领域：准备、识别与预防、应对以及报告与系统学习。综合措施的组成部分可根据各机构情况进行调整，但建议在机构内部实现标准化。还提供了基于证据的资源和建议以协助实施。
