Maternal Transport, What Do We Know: A Narrative Review.

IF 2.5 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2024-05-18 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S461341

Sally G Barnes, Bailey Sutliff, Michael P Wendel, Everett F Magann

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引用次数: 0

Abstract

Objective: This review examines the initial development of a transport system for neonates, followed by a subsequent evolution of a transportation system for the maternal/fetal unit, and then a maternal transport system (antepartum, intrapartum, and postpartum) to specifically address maternal morbidity/mortality.

Methods: A literature search was undertaken using the electronic databases PubMed, Embase, and CINAHL. The search terms used were "maternal transport" AND "perinatal care" OR "labor" "obstetrics" OR "delivery". The years searched were 1960-2023.

Results: There were 260 abstracts identified and 52 of those are the basis of this review. The utilization of a transportation system with the regionalization of levels of care has resulted in a significant reduction in neonatal, perinatal, and maternal morbidity and mortality. Although preterm delivery remains a concern in women transported, the number of deliveries that have occurred during transport is relatively small. Reimbursement for transportation continues to be a problem in several states.

Conclusion: A state-of-the-art transportation system has evolved that transfers neonates, maternal/fetal dyad, and pregnant women (antepartum, intrapartum, postpartum) to the appropriate level of care facility to ensure the best maternal/fetal/neonatal outcomes.

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孕产妇转运，我们知道些什么？叙述性评论。

目的：这篇综述研究了新生儿转运系统的最初发展，随后是母体/胎儿科转运系统的发展，然后是孕产妇转运系统（产前、产中和产后），以专门解决孕产妇发病率/死亡率问题：方法：使用电子数据库 PubMed、Embase 和 CINAHL 进行文献检索。搜索关键词为 "孕产妇转运"、"围产期护理 "或 "分娩"、"产科 "或 "接生"。检索年份为 1960 年至 2023 年：结果：共发现 260 篇摘要，其中 52 篇是本综述的基础。随着运输系统的使用和护理水平的区域化，新生儿、围产期和孕产妇的发病率和死亡率显著降低。尽管早产仍是转运产妇的一个问题，但在转运过程中发生的分娩数量相对较少。在一些州，运输费用的报销仍然是个问题：一个先进的转运系统已经形成，该系统可将新生儿、母婴双方和孕妇（产前、产中、产后）转运至适当级别的医疗机构，以确保获得最佳的母婴/新生儿疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.