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妇产科医院医师能否降低严重产妇发病率?

Can Obstetrics and Gynecology Hospitalists Reduce Severe Maternal Morbidity?

机构信息

Department of Obstetrics and Gynecology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.

Department of Obstetrics and Gynecology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.

出版信息

Obstet Gynecol Clin North Am. 2024 Sep;51(3):445-452. doi: 10.1016/j.ogc.2024.04.002. Epub 2024 May 22.

Abstract

Maternal mortality in the United States has risen steadily over the past 20 years. Several interventions including maternal mortality committees and safety bundles have been introduced to decrease the trend. Severe maternal morbidity is a more frequent occurrence related to maternal mortality and can be used to track interventions. Within safety bundles, the presence of well-trained on-site staff such as obstetrics and gynecology (OB/GYN) hospitalists is key to correct implementation. In this article, the authors review the role of OB/GYN hospitalists in specific diagnoses and the evidence present to date on OB/GYN hospitalists' role in decreasing severe maternal morbidity.

摘要

美国的产妇死亡率在过去 20 年中稳步上升。为了降低这一趋势,已经引入了包括产妇死亡率委员会和安全套包在内的几项干预措施。严重的产妇发病率与产妇死亡率更相关,是一种更常见的情况,可以用来跟踪干预措施。在安全套包中,现场有训练有素的人员,如妇产科 (OB/GYN) 医院医生的存在是正确实施的关键。在本文中,作者回顾了妇产科医院医生在特定诊断中的作用,以及迄今为止妇产科医院医生在降低严重产妇发病率方面的作用的证据。

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