产后出血孕产妇会诊与转诊策略
Transfer and consultation strategy for pregnant women with postpartum hemorrhage
杨怡珂 1郭晓玥 1王妍 1赵扬玉1
作者信息
- 1. 北京大学第三医院妇产科,国家妇产疾病临床医学研究中心,国家产科专业医疗质量控制中心,北京 100191
- 折叠
摘要
产后出血是世界范围内孕产妇死亡的首要原因,危及全球孕产妇安全.我国孕产妇死亡率在过去30年显著下降,但随着二胎及三孩政策的放开,高危孕产妇的数量逐年增长,而严重产后出血的发生率亦呈上升趋势.针对孕期产后出血高危因素识别、各级助产机构之间的及时转诊和会诊是预防严重产后出血、降低孕产妇死亡的关键管理措施.北京大学第三医院妇产科团队通过对区域内严重产后出血病例回顾,总结区域内严重产后出血病例转诊和会诊情况及妊娠结局,提出区域内具有产后出血高危因素及发生严重产后出血危重孕产妇的转诊和会诊流程策略,供不同区域危重孕产妇分级诊疗管理进行参考.
Abstract
Postpartum hemorrhage is the leading cause of matemal mortality worldwide,posing a threat to the safety of pregnant women globally.Although China has seen a significant decrease in maternal mortality rate over the past 30 years,but with the release of policies allowing for second and third child,there has been an increasing number of high-risk pregnant women and a rising incidence of severe postpartum hemorrhage.Identifying high-risk factors for postpartum hemor-rhage during pregnancy and timely transfer and con-sultation between different levels of midwifery insti-tutions are key management measures to prevent severe postpartum hemorrhage and reduce maternal mortality.Our team reviewed cases of severe postpartum hem-orrhage in the region,summarized the transfer and consultation situations as well as pregnancy outcomes,and proposed a strategy for transferring high-risk pregnant women with postpartum hemorrhage and the consultation within the region.This can serve as a reference for graded diagnosis and treatment man-agement of critically ill pregnant women in different regions.
关键词
产后出血/危重孕产妇/转诊/会诊/表单化管理Key words
postpartum hemorrhage/pregnant wom-en with critical conditions/transfer/consultation/form-based management引用本文复制引用
基金项目
国家重点研发计划(2021YFC2701500)
国家重点研发计划(2021YFC2701505)
出版年
2024
国家科技期刊平台
NSTL
万方数据