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监测 Rede Cegonha 医院的产妇指标:一项提案。

Maternal indicators to monitor hospitals in the Rede Cegonha: a proposal.

机构信息

Secretaria Municipal de Saúde de São Paulo. R. General Jardim 36, Vila Buarque. 01223-906 São Paulo SP Brasil.

出版信息

Cien Saude Colet. 2021 Mar;26(3):781-787. doi: 10.1590/1413-81232021263.35562020. Epub 2020 Oct 22.

DOI:10.1590/1413-81232021263.35562020
PMID:33729336
Abstract

The Rede Cegonha strategy was launched in 2011 by the federal government to improve pregnancy, delivery, postpartum care, and child development in the first two years of life, reduce maternal and child mortality, and expand women's sexual and reproductive rights. We propose seven new maternal indicators to improve obstetric care evaluation in the next assessment cycle. The new indicators are the use of Robson's classification to monitor cesarean rates, use of magnesium sulfate in cases of preeclampsia/eclampsia, pregnant women's use of calcium supplements, blood transfusions and hysterectomy in delivery/puerperium, management of puerperal sepsis, IUD insertions in the postpartum/post-abortion period, and obstetricians' continuing education. These indicators are based on robust scientific evidence and can reduce unnecessary cesarean sections, prevent maternal deaths and future unplanned pregnancies.

摘要

红鸟(Rede Cegonha)策略于 2011 年由联邦政府发起,旨在改善妊娠、分娩、产后护理和儿童生命最初两年的发育,降低母婴死亡率,并扩大妇女的性和生殖权利。我们提出了七个新的产妇指标,以改善下一评估周期的产科护理评估。新指标包括使用 Robson 分类法监测剖宫产率、子痫前期/子痫中硫酸镁的使用、孕妇钙补充剂的使用、分娩/产褥期的输血和子宫切除术、产褥期脓毒症的管理、产后/流产后宫内节育器的插入以及产科医生的继续教育。这些指标基于可靠的科学证据,可以减少不必要的剖宫产,预防产妇死亡和未来的非计划妊娠。

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