Maher Melissa J
Obstetrics and Gynecology Care Center, Women & Infants Hospital, Providence, Rhode Island.
J Perinat Neonatal Nurs. 2019 Jul/Sep;33(3):238-245. doi: 10.1097/JPN.0000000000000421.
Large-scale natural or environmental disasters, infectious disease outbreaks, and terrorist attacks are becoming increasingly common in developed countries. In response to these local, national, and international tragedies, many healthcare systems have developed hospital preparedness programs to manage catastrophic disasters while maintaining essential patient care. However, emergency preparedness initiatives that specifically address the unique needs of pregnant women are lacking. The purpose of this article is to identify challenges that impact perinatal patients during disasters and provide strategies and recommendations for emergency preparedness. Specific emphasis is placed on perinatal emergency preparedness including obstetric triage, surge capacity, sheltering in place, trauma in pregnancy, mental health, and management of special pathogens. Guidance to hospitals on the immediate evaluation, stabilization, acute management, and transfer of pregnant patients and neonates following these events is provided.
在发达国家，大规模的自然或环境灾难、传染病爆发以及恐怖袭击正变得越来越常见。为应对这些地方、国家和国际层面的悲剧事件，许多医疗系统已制定医院应急准备计划，以便在维持基本患者护理的同时应对灾难性灾难。然而，专门针对孕妇独特需求的应急准备举措却付诸阙如。本文旨在识别灾难期间影响围产期患者的挑战，并提供应急准备的策略和建议。特别强调围产期应急准备，包括产科分诊、应对能力、就地避难、孕期创伤、心理健康以及特殊病原体的管理。本文还为医院提供了关于灾难事件后对孕妇和新生儿进行即时评估、稳定病情、急性处理及转运的指导。
