家庭医疗产科会诊。
Consultation in family practice obstetrics.
作者信息
Reid A J, Carroll J C, Ruderman J, Murray M
机构信息
Department of Family and Community Medicine, University of Toronto.
出版信息
Can Fam Physician. 1995 Apr;41:591-8.
PURPOSE
To examine the types of non-low-risk obstetric patients managed by family physicians in urban teaching hospitals, and to determine indications for consultation for women at low risk when labour began.
METHOD
Retrospective chart review for all patients delivered by family physicians in three downtown Toronto teaching hospitals during 1 year.
RESULTS
Of 1710 cases, 595 (34.8%) were classified as non-low risk, with the main indications being postdates (> 42 weeks) (19.9%); pregnancy-induced hypertension (19.3%); and premature labour (< 37 weeks) (14.8%). Of the 1115 low-risk patients, 363 (32.6%) had an intrapartum consultation, usually for failure to progress (50.1%) or fetal distress (12.7%). More than 80% of intrapartum consultations were associated with induction and augmentation of labour.
CONCLUSION
Family physicians can continue to care for many non-low-risk women, usually with the help of obstetricians. Consultations were obtained for many women at low risk. We need to reevaluate whether some mandatory consultations are necessary in family practice obstetrics.
目的
研究城市教学医院中由家庭医生管理的非低风险产科患者的类型，并确定低风险女性分娩开始时的会诊指征。
方法
对多伦多市中心三家教学医院中家庭医生接生的所有患者进行为期1年的回顾性病历审查。
结果
在1710例病例中，595例（34.8%）被归类为非低风险，主要指征为过期妊娠（>42周）（19.9%）；妊娠期高血压（19.3%）；以及早产（<37周）（14.8%）。在1115例低风险患者中，363例（32.6%）进行了产时会诊，通常是因为产程进展不顺利（50.1%）或胎儿窘迫（12.7%）。超过80%的产时会诊与引产和加强宫缩有关。
结论
家庭医生通常在产科医生的帮助下，可以继续照料许多非低风险女性。许多低风险女性也进行了会诊。我们需要重新评估在家庭产科实践中一些强制性会诊是否必要。
Zotero 插件