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目前剖腹产率的升高已引起美国全国的关注。作者介绍Denver市为减少剖腹产率对医师、护士及一般工作人员进行医学教育的经验,主要内容有:①有既往剖腹产史病人的护理。②产程中胎儿窘迫的诊断和处理。③引产的指征和方法。④对产程无明显进展病人处理的探讨。⑤臀先露及双胎分娩中的处理。⑥对患生殖器疱疹的危险病人的鉴定以及高危妊娠任一时期内的计划分娩方法。通过教育使重复剖腹产率得到了相对稳定,但变化是缓慢的。
The current increase in caesarean section rate has caused the concern of the United States. The author introduces Denver’s experience in medical education for physicians, nurses, and general staff to reduce caesarean sections. The main topics are: (1) Nursing care of patients with previous caesarean sections. ② labor process of fetal distress diagnosis and treatment. Induction of labor indications and methods. ④ no significant progress on the process of treatment of patients. ⑤ buttocks exposed and twin births in the handling. ⑥ identification of at-risk patients with genital herpes and planned delivery during any period of high-risk pregnancy. Through education, repeated caesarean section rate was relatively stable, but the change was slow.