Pathology Department, King Fahd University Hospital, College of Medicine, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia.
King Fahd University Hospital, College of Medicine, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia.
Medicina (Kaunas). 2023 Mar 15;59(3):574. doi: 10.3390/medicina59030574.
: Several studies have reported a low rate of pathological examination of the placentas and a poor utilization of pathology reports. We assessed Saudi obstetricians' awareness and utilization of the placental pathological examination guidelines of the College of American Pathologists (CAP) and evaluated their understanding of the reports. : An anonymous survey was distributed to obstetricians registered in the Saudi Commission of Health Specialties database. We examined the association between the participants' level of training or practice as well as their institution type with the surveyed elements. Of 292 respondents, 34.2% were aware of the CAP guidelines. Most of them were practicing in government hospitals. Moreover, 18.2% of them routinely sent the placenta for pathological examination, and approximately 70.5% routinely reviewed the pathology reports and understood the nomenclature used; these percentages were significantly higher among university hospital practitioners. The residents were the least aware of the CAP guidelines and the least likely to review and understand the pathology reports. Regardless of the CAP guidelines awareness, the most common indication for placental pathologic examination was fetal anomalies, followed by medicolegal reasons and infections. : Placental pathologic examination appeared uniformly underutilized in Saudi Arabia. Obstetricians are required to generate awareness of the need to comply with the CAP guidelines and to improve the understanding and utilization of pathology reports.
有几项研究报告指出，对胎盘进行病理检查的比例较低，且对病理报告的利用也不理想。我们评估了沙特产科医生对美国病理学家学会（CAP）胎盘病理检查指南的知晓情况和应用情况，并评估了他们对报告的理解。
我们向沙特卫生专业人员委员会数据库中注册的产科医生分发了一份匿名调查。我们研究了参与者的培训或实践水平以及所在机构类型与调查内容之间的关系。在 292 名受访者中，有 34.2%的人知晓 CAP 指南。他们大多数在公立医院执业。此外，18.2%的人常规将胎盘送检进行病理检查，约 70.5%的人常规审查病理报告并理解所用术语；这些百分比在大学附属医院从业者中显著更高。住院医师对 CAP 指南的知晓率最低，也最不可能审查和理解病理报告。无论是否知晓 CAP 指南，胎盘病理检查的最常见指征是胎儿畸形，其次是医学法律原因和感染。
胎盘病理检查在沙特阿拉伯似乎普遍未得到充分利用。产科医生需要提高对遵守 CAP 指南的必要性的认识，并提高对病理报告的理解和应用。
