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首页> 外文期刊>Irish medical journal. >Quality of care in the management of major obstetric haemorrhage.
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Quality of care in the management of major obstetric haemorrhage.

机译：重大产科出血管理中的护理质量。

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Substandard care is reported to occur in a large number of cases of major obstetric haemorrhage (MOH). A prospective audit was carried out by a multidisciplinary team at our hospital over a one year period to assess the quality of care (QOC) delivered to women experiencing MOH. MOH was defined according to criteria outlined in the Scottish Audit of Maternal Morbidity (SAMM). 31 cases were identified yielding an incidence of 3.5/1000 deliveries. The predominant causes were uterine atony 11 (35.4%), retained products of conception 6 (19.3%) and placenta praevia/accreta 6 (19.3%). Excellent initial resuscitation and monitoring was noted with a high level of senior staff input. Indicators of QOC compared favourably with the SAMM. Areas for improvement were identified. This pilot study demonstrates the feasibility of detailed prospective data collection in MOH in a busy Dublin obstetric unit with a view to developing a national audit. Standardization of definitions allows for international comparisons.
机译：据报道，在许多重大产科出血（MOH）病例中发生了不合标准的护理。我们医院的一个多学科团队在一年的时间内进行了前瞻性审核，以评估为经历MOH的女性提供的护理质量（QOC）。 MOH是根据苏格兰孕产妇发病率审核（SAMM）中概述的标准定义的。鉴定出31例，分娩率为3.5 / 1000。主要原因是子宫收缩乏力11（35.4％），保留的受孕产物6（19.3％）和胎盘前列腺/分泌物6（19.3％）。在高级职员的高水平投入下，人们注意到出色的初始复苏和监测。 QOC的指标优于SAMM。确定了需要改进的地方。这项初步研究表明，在繁忙的都柏林产科部门中，在卫生部进行详细的前瞻性数据收集的可行性，以期开展国家审核。定义的标准化允许进行国际比较。

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