...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Obstetricians' knowledge and practices regarding the management of preeclampsia
【24h】

Obstetricians' knowledge and practices regarding the management of preeclampsia

机译：关于普莱克萨里亚人管理的产科医生的知识和做法

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background:Preeclampsia affects over 4% of pregnancies in the United States. Management of preeclampsia is dependent on the severity of the condition and can range from expectant management to early delivery and inpatient observation. After publication of the hypertension in Pregnancy Task Force guidelines in 2013, little is known about their implementation and acceptance by practicing obstetricians and maternal-fetal medicine (MFM) specialists. Objective:To evaluate Obstetricians' knowledge and practices regarding the management of preeclampsia. Methods:A prospective survey was administered to ob-gyns at three different hospital systems in the Northeastern United States to assess practices regarding preeclampsia management and prevention. Results:A total of 87 out of 130 providers completed and returned a questionnaire (66.9% response rate). Providers with a subspecialty in MFM made up 44.3% of the sample. 90.7% of respondents agreed that preeclampsia is a common diagnosis in their practice, while 85% agreed that aspirin is useful for reducing a patient's risk of preeclampsia. 68.8% of providers reported not administering magnesium sulfate in labor to reduce seizure risk in patients with preeclampsia without severe features. Only 5.8% of providers reported using a preeclampsia prediction algorithm, all of whom were MFMs. Providers who specialized in MFM were more likely to prescribe aspirin for preeclampsia prevention in patients with chronic hypertension (26, 74.3% vs. 17, 39.5%,p = .002). MFM specialists were also more likely to counsel patients with abnormal biomarkers on the risk of preeclampsia (23, 69.7% vs. 15, 35.7%,p = .005). Conclusion:Efforts to inform practicing ob-gyns about the best practices for preeclampsia management and prevention have been largely successful, though there are still discrepancies between current recommendations and practice. Differences between general OBGYNs and MFM specialists were also significant with regards to practice. Given the acknowledgement of how common diagnoses of preeclampsia are in respondents' practices, better education and distribution of guidelines on management of preeclampsia is needed.
机译：背景：预口普拉姆斯影响美国妊娠的4％。先兆子痫的管理取决于病情的严重程度，可以从预期管理到早期交付和住院观察。在2013年出版怀孕工作队指南的高血压后，通过练习产科医生和母性胎儿（MFM）专家来众所周知。目的：评估妇产科医生关于普林普拉姆证券管理的知识和做法。方法：向美国东北三种不同医院系统的ob-gyns进行预期调查，以评估有关先兆子痫管理和预防的做法。结果：130个提供商共分为87人，并返回调查问卷（响应率为66.9％）。在MFM中具有亚特色的提供商组成了44.3％的样品。 90.7％的受访者同意，预先普拉姆斯患者在其实践中是一个常见的诊断，而85％同意阿司匹林可用于降低患者的患者的预印痫风险。 68.8％的供应商报告不在劳动中施用硫酸镁，以减少患有先兆子痫患者的癫痫发作风险，没有严重的特征。只有5.8％的供应商报告使用预贷方预测算法，所有这些都是MFMS。专门从事MFM的提供商更有可能为慢性高血压患者（26,74.3％对17,39.5％，P = .002）规定阿司匹林预防。 MFM专家也更有可能咨询具有异常生物标志物的患者对先兆子痫的风险（23,69.7％对15,35.7％，P = .005）。结论：努力为ob-gyns提供关于先兆子管理和预防的最佳实践的努力在很大程度上是成功的，尽管目前的建议和实践之间仍存在差异。关于练习的普遍对象和MFM专家之间的差异也很重要。鉴于确认预贷方诊断的诊断是受访者的做法，需要更好的教育和分布对先兆子痫的管理指南。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号