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阴道分娩和剖宫产过程中面罩感知污染与实际污染的发生率。

Incidence of perceived and actual face shield contamination during vaginal and cesarean delivery.

作者信息

Kouri D L, Ernest J M

机构信息

Department of Obstetrics and Gynecology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27157.

出版信息

Am J Obstet Gynecol. 1993 Aug;169(2 Pt 1):312-5; discussion 315-6. doi: 10.1016/0002-9378(93)90081-s.

Abstract

OBJECTIVE

The purpose of this study was to determine the rate of potential contamination or splashes to the face of obstetricians during vaginal and cesarean delivery.

STUDY DESIGN

Clear plastic face shields were worn during 50 consecutive vaginal and 50 consecutive cesarean deliveries. The face shields were then analyzed for evidence of contamination, and rates of contamination were compared.

RESULTS

The contamination rate of the face shields was 50% during cesarean deliveries and 32% during vaginal deliveries. Ninety-two percent of the contaminated face shields were undetected by physicians at the time of cesarean delivery and 50% were undetected at the time of the vaginal delivery.

CONCLUSIONS

Obstetricians commonly receive blood or amniotic fluid splashes to the face during deliveries and should wear protective eyeglasses or face shields during all deliveries to minimize the risk of exposure to potentially infectious blood and body fluids.

摘要

目的

本研究的目的是确定在阴道分娩和剖宫产过程中产科医生面部潜在污染或溅液的发生率。

研究设计

在连续50例阴道分娩和50例剖宫产过程中佩戴透明塑料面罩。然后对面罩进行污染证据分析,并比较污染率。

结果

剖宫产过程中面罩的污染率为50%,阴道分娩过程中为32%。92%被污染的面罩在剖宫产时未被医生发现,50%在阴道分娩时未被发现。

结论

产科医生在分娩过程中面部常受到血液或羊水溅液,应在所有分娩过程中佩戴防护眼镜或面罩,以尽量降低接触潜在感染性血液和体液的风险。

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