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首页> 外文期刊>Journal of women’s health >Emergency Department Visits for Postpartum Complications
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Emergency Department Visits for Postpartum Complications

机译：急诊部门访问产后并发症

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Introduction: Most estimates of the prevalence and types of postpartum complications are based on hospital readmissions. However, using hospital readmissions (which occurs in only 1%–2% of postpartum women) is problematic as it fails to include women with postpartum complications assessed in the office or emergency department (ED). We utilized data from a cohort of women evaluated in an ED setting to better characterize complications experienced by women in the postpartum period. Materials and Methods: We performed a retrospective analysis of all postpartum visits to the ED at a tertiary care women's hospital over 6 months. We described characteristics of the population and clinical details of the ED visit, specifically the presenting complaint, delivery type, final diagnosis, and admission rate. Results: Among 5708 deliveries during the study period, 252 women had at least one visit to the ED within 42 days after delivery, and the median timing for first visit was 7.5 days postpartum. The most common presenting complaints were wound complication (17.5%), fever (17.1%), abdominal pain (15.9%), headache/dizziness (12.3%), breast problem (10.7%), and hypertension (10.3%). Fifty-seven percent of these visits were by women who delivered vaginally and 54% of women were multiparous. The most common final diagnosis was a normal postpartum examination and only 22% of women were readmitted. Conclusion: Women presenting to the ED postpartum period had a wide variety of medical issues but 78% were not admitted. Given the timing and low acuity of many visits, better postpartum education may be a tool to reduce nonemergent postpartum ED visits.
机译：介绍：大多数患病率和产后并发症类型的估计基于医院入伍。但是，使用医院入院（仅在1％-2％的产后妇女中发生）是有问题的，因为它未能在办公室或急诊部门（ED）中分析妇女妇女。我们利用在ED设置中评估的妇女队的妇女群体数据以更好地表征产后期间女性所经历的并发症。材料和方法：我们在6个月内对初级护理女性医院进行了回顾性分析。我们描述了ED访问的人口和临床细节的特征，特别是提出投诉，交付类型，最终诊断和入学率。结果：在研究期间的5708个交付中，252名妇女在交货后42天内至少参加了ed，而第一次访问的中位数是产后7.5天。最常见的呈现投诉是伤口并发症（17.5％），发热（17.1％），腹痛（15.9％），头痛/头晕（12.3％），乳腺问题（10.7％）和高血压（10.3％）。这些访问的五十七百百分之一是由阴道交付的妇女，54％的女性是多体的。最常见的最终诊断是正常的产后检查，只需要22％的女性。结论：向ED产后时期提出的女性具有各种各样的医疗问题，但78％未被录取。鉴于许多访问的时间和低敏锐度，更好的产后教育可能是减少不可能力产后ed的工具。

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