产妇转运：改善风险适宜性护理体系的机会。
Maternal transport: an opportunity to improve the system of risk-appropriate care.
机构信息
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Bureau of Maternal, Child and Family Health, Ohio Department of Health, Columbus, OH, USA.
出版信息
J Perinatol. 2021 Sep;41(9):2141-2146. doi: 10.1038/s41372-021-00935-9. Epub 2021 Feb 5.
OBJECTIVE
To assess how often maternal transport preceded pregnancy-related deaths and describe contributing factors and recommendations related to maternal transport.
STUDY DESIGN
We used Ohio maternal mortality review committee (MMRC) data from 2010 to 2016. We defined two transport types among pregnancy-related deaths: field to hospital and hospital to hospital. We examined deaths determined by the MMRC to be potentially preventable by transfer to a higher level of care and described contributing factors and recommendations.
RESULT
Among 136 pregnancy-related deaths, 56 (41.2%) were transported. Among 15 deaths identified as potentially preventable by transfer to a higher level of care, 5 were transported between hospitals. Contributing factors for 14 deaths included inadequate response by Emergency Medical Services and lack of transport to a higher level of care.
CONCLUSION
Our results suggest opportunities for examining modification and adherence to existing protocols. Improving risk-appropriate maternal care systems is important for preventing pregnancy-related deaths.
目的
评估产妇转运与妊娠相关死亡的关联频率，并描述与产妇转运相关的促成因素和建议。
研究设计
我们使用了俄亥俄州产妇死亡率审查委员会（MMRC）2010 年至 2016 年的数据。我们定义了妊娠相关死亡中的两种转运类型：现场到医院和医院到医院。我们研究了 MMRC 确定的、通过转至更高层级的医疗保健机构可能预防的死亡，并描述了促成因素和建议。
结果
在 136 例妊娠相关死亡中，有 56 例（41.2%）接受了转运。在 15 例经 MMRC 确定为可通过转至更高层级的医疗保健机构来预防的死亡中，有 5 例在医院之间转运。14 例死亡的促成因素包括紧急医疗服务反应不足和缺乏向更高层级医疗保健机构的转运。
结论
我们的研究结果表明，有机会对现有协议进行审查和调整。改善风险适当的孕产妇护理系统对于预防妊娠相关死亡至关重要。
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