Emont Jordan, Wang Melissa, Wright Kelly
Department of Obstetrics and Gynecology, Columbia University Medical Center - New York Presbyterian Hospital, 622 W 168th St, New York, NY 10032, USA.
Department of Obstetrics and Gynecology, Columbia University Medical Center - New York Presbyterian Hospital, 622 W 168th St, New York, NY 10032, USA.
Semin Perinatol. 2023 Dec;47(8):151844. doi: 10.1016/j.semperi.2023.151844. Epub 2023 Oct 10.
The healthcare industry makes up 4.6 % of greenhouse gas (GHS) emissions worldwide. Although it is not known what proportion of GHGs come from obstetric and newborn units, newborns and pregnant individuals are likely to face some of the largest consequences from climate change. We review the literature in the areas of decarbonization on labor and delivery (L&D) and neonatal units and describe innovations from the fields of surgery and anesthesia. Best practices for L&D include refining disposable equipment packs, decreasing the use of single-use medical devices, adequately triaging waste, and decreasing the use of potent anesthetic gases such as nitrous oxide and desflurane. In neonatal settings, similarly triaging waste and decreasing the use of plastics containing endocrine disrupting chemicals can lower the carbon and environmental footprint and improve neonatal health. Additionally, avoiding unnecessary cesarean deliveries and increasing breastfeeding practices are also likely to improve the carbon footprint of L&D and neonatal units.
医疗保健行业占全球温室气体（GHG）排放量的4.6%。虽然尚不清楚温室气体中有多大比例来自产科和新生儿科室，但新生儿和孕妇很可能面临气候变化带来的一些最严重后果。我们回顾了分娩（L&D）和新生儿科室脱碳领域的文献，并描述了外科和麻醉领域的创新。分娩的最佳实践包括优化一次性设备包、减少一次性医疗设备的使用、对废物进行适当分类以及减少使用强效麻醉气体，如氧化亚氮和地氟烷。在新生儿科室，类似地对废物进行分类并减少使用含有内分泌干扰化学物质的塑料，可以降低碳足迹和环境足迹，并改善新生儿健康。此外，避免不必要的剖宫产和增加母乳喂养做法也可能改善分娩和新生儿科室的碳足迹。
