[在围产期中心助产士主导的产房分娩-学习曲线、结果和基准]。

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-06-06 DOI:10.1055/a-2082-2176
Theresa Andraczek, Susann Magister, Sandy Bautzmann, Stephanie Poppke, Holger Stepan, Anne Tauscher
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引用次数: 0

摘要

引言:在德国,大多数分娩都是在临床环境中进行的。自2003年以来,德国除了主要由医生主导的产科护理外,还提供了助产士主导的单元。本研究的目的是分析一级围产期中心由助产士领导和主要由医生领导的单位在医疗参数方面的差异。材料和方法:在2020年12月至2021年12月期间,对助产士领导的单元中开始的所有分娩进行回顾性分析,并与医生领导的对照队列进行比较。结果指标被定义为产科干预、分娩方式和持续时间、分娩位置以及孕产妇和新生儿的结果。结果:在助产士主导的分娩单元开始分娩的比例占总出生率的4.8%(n=132)。大多数转移是为了更有效的镇痛(52.6%)。在医学指示的转移(n=30,39.5%)中,由于CTG异常和胎膜破裂后分娩失败而转移占主导地位。43.9%(n=58)的患者在助产士主导的单元中成功分娩。与成功的助产士领导的单位相比,主要由医生领导的单位的会阴切开率明显更高(p=0.019)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Birth in the Midwife-Led Delivery Room of a Perinatal Center - Learning Curve, Outcomes and Benchmark].

Introduction: Most births in Germany take place in a clinical setting. Midwife-led units have been offered in Germany since 2003 as an addition to the primarily physician-led obstetric care. The purpose of this study was to analyze differences regarding medical parameters between a midwife-led and a primarily physician-led unit in a level 1 perinatal center.

Material and methods: Between 12/2020 and 12/2021, all births begun in the midwife-led unit were retrospectively analyzed and compared to a physician-led control cohort. Outcome measures were defined as obstetric interventions, delivery mode and duration, delivery position, and maternal and neonatal outcome.

Results: The percentage of deliveries started in the midwife-led unit out of the total birth rate was 4.8% (n=132). Most transfers were made for more effective analgesia (52.6%). Among medically indicated transfers (n=30, 39.5%), transfers due to CTG abnormalities and failure to progress in labor after rupture of membranes predominated. 43.9% (n=58) of patients gave birth successfully in the midwife-led unit. The rate of episiotomy was significantly higher in the primarily physician-led unit compared to the successful midwife-led unit (p=0.019).

Conclusion: Birth in a midwife-led unit within a perinatal center can be considered an equivalent alternative to primarily physician-led birth for low-risk pregnant women.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
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