在德国围产中心照顾已有疾病的孕妇。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
P Kosian, B Strizek, S Kehl, M Abou-Dakn, E Jost, W M Merz
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引用次数: 0

摘要

导言:患有慢性疾病的孕妇在怀孕、分娩和产后期间的产妇和围产期并发症发生率较高。德国《孕产妇指南》并未对这些妇女的护理提出具体建议。本研究旨在评估德国围产中心(1 级和 2 级)和围产护理 3 级医院对已有病症的孕妇的护理情况:根据指南和文献,确定了七个主题:孕前咨询、就诊时机、罕见病孕妇护理、参与继续教育、多学科病例会议、患者咨询资源以及将患者转至其他中心。我们通过电子邮件联系了所有围产中心的代表,并邀请他们参与调查。匿名在线调查使用 SoSci 调查平台进行:在 310 个中心中,有 103 个(33.2%)中心的代表做出了回复。62.2%(n = 64)报告称每月管理 11-30 名患有既往症的孕妇。22.1%的中心(n = 23)定期为患有罕见疾病的孕妇提供治疗,46.6%的中心提供孕前咨询。大学医院提供这些服务的频率更高。34.0%的中心定期召开病例会议,80.6%的医务人员定期参加相关的继续教育:根据我们的调查结果显示,76.7%(n = 79)的围产中心定期为已有病症的患者提供治疗,而只有 22.1% 的围产中心为罕见病患者提供治疗。调查结果表明,有必要实施标准化建议和有针对性的资源分配,以确保为这一患者群体提供最佳护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Care of pregnant women with pre-existing medical conditions in German perinatal centers.

Introduction: Pregnancies in women with chronic medical conditions are characterized by a higher maternal and perinatal complication rate during pregnancy, childbirth, and the postpartum period. The German Maternity Guideline does not provide specific recommendations for the care of these women. The aim of this study was to evaluate the care of pregnant women with pre-existing medical conditions in German perinatal centers (Level 1 and 2) and perinatal care level 3 hospitals.

Materials and methods: Based on guidelines and literature, seven topics were identified: preconception counseling, timing of consultation, care for pregnant women with rare diseases, participation in continuing education, multidisciplinary case conferences, resources for patient counseling, and transfer of the patient to another center. Representatives of all perinatal centers were contacted by email and invited to participate. The anonymous online survey was conducted using the SoSci Survey platform.

Results: Of 310 centers, 103 (33.2%) representatives responded. 62.2% (n = 64) reported managing 11-30 pregnant women with pre-existing conditions per month. 22.1% (n = 23) of all centers regularly care for pregnant women with rare diseases, and 46.6% offer preconception counseling. University hospitals offer these services more frequently. Regular case conferences are held in 34.0% of centers, and 80.6% of medical staff regularly participate in continuing education on the topic.

Conclusion: According to the results of our survey, 76.7% (n = 79) of perinatal centers regularly care for patients with pre-existing conditions, while only 22.1% care for patients with rare diseases. The findings highlight the need to implement standardized recommendations and targeted resource allocation to ensure optimal care for this patient group.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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