University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Clin Obstet Gynecol. 2022 Dec 1;65(4):839-847. doi: 10.1097/GRF.0000000000000722. Epub 2022 Jul 8.
There is great evidence to support improved maternal and neonatal outcomes when a patient delivers in a center that is suited to the needs of both the birthing person and the fetus. As rural centers have closed, access remains challenging. This manuscript examines The Emergency Medical Treatment and Labor Act, Emergency Medical Services (EMS) challenges, needs of rural hospitals including education, and elaborates further upon the need to expand maternal transport in rural areas to improve outcomes in the future.
有充分的证据表明,当患者在适合分娩者和胎儿需求的中心分娩时,可以改善母婴结局。随着农村中心的关闭,获得医疗服务仍然具有挑战性。本文研究了《紧急医疗救治和劳动法》、紧急医疗服务(EMS)面临的挑战、农村医院的需求,包括教育,并进一步阐述了扩大农村地区产妇运输的必要性,以改善未来的结果。