关键词: labor postpartum hemorrhage retained product of conception ultrasound uterine tamponade

来  源:   DOI:10.1515/jpm-2024-0231

Abstract:
OBJECTIVE: Although frequently employed in the delivery room, current guidelines do not recommend the use of ultrasound in the setting of postpartum hemorrhage (PPH). The aim of this survey was to evaluate the routine use of ultrasonography during PPH.
METHODS: A questionnaire, composed by a series of questions that assess participant characteristics and ultrasound use during PPH, was sent to members of the Italian Society of Ultrasound in Obstetrics and Gynecology currently employed in obstetrical units. Answers were subsequently grouped based on participant characteristics.
RESULTS: Based on the responses of 200 participants it was found that ultrasound was routinely employed by 67 % of participants during PPH, by 85 % if Retained Products of Conception (RPOC) was suspected, by 67 % during Bakri balloon placement and by 69 % during curettage procedures. Routine ultrasound use was higher amongst participants working in hospitals with a higher number of deliveries, by those with more years of experience using ultrasound in labor, and by those that had attended specific postgraduate training courses.
CONCLUSIONS: Despite the lack of recommendations in the current guidelines, the results of this survey show that ultrasound seems to be commonly employed by maternal fetal medicine practitioners in the management of PPH.
摘要:
目的:虽然经常在产房工作,目前的指南不建议在产后出血(PPH)时使用超声检查.这项调查的目的是评估PPH期间超声检查的常规使用。
方法:问卷调查,由一系列评估PPH期间参与者特征和超声使用的问题组成,已发送给目前在产科工作的意大利妇产科超声学会成员。随后根据参与者特征对答案进行分组。
结果:根据200名参与者的反应,发现67%的参与者在PPH期间常规使用超声检查,如果怀疑保留概念产品(RPOC),在Bakri球囊放置期间下降了67%,在刮宫手术期间下降了69%。在分娩次数较多的医院工作的参与者中,常规超声使用率较高,那些在分娩中使用超声波的经验更多的人,以及那些参加过特定研究生培训课程的人。
结论:尽管当前指南中缺乏建议,这项调查的结果表明,超声检查似乎是孕产妇胎儿医学从业者在PPH管理中常用的方法.
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