循证制定灾后孕妇医疗保健及医疗救助模式初探_《中国循证医学杂志》

作者：

傅璟 , 胡丽娜 , 许良智 , 周容 , 王和

四川大学华西第二医院妇产科（成都 610041）;

关键词：

灾后医疗救助孕妇医疗保健循证决策

DOI：

10.7507/1672-2531.20080157

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　循证评价世界范围内的灾后孕妇医疗保健措施及医疗救助模式，为进一步完善我国灾后孕妇管理措施提供决策依据。
方法　检索 Cochrane 图书馆（2008 年第 2 期）、MEDLINE 光盘数据库（1966 ～ 2008.6）、EMbase 数据库（1984 ～ 2008.6）、维普中文科技期刊数据库（1989 ～ 2008 年 6 月）、中国生物医学文献光盘数据库（1978 ～ 2008.6）、万方数据库（1997 ～ 2008.6）、中国学术期刊全文数据库（1994 ～ 2008.6），手工检索《中华妇产科杂志》等杂志，筛选截至 2008 年 6 月 20 日的关于灾后孕妇医疗保健的文献和指南，评定文献质量，并进行综分析。
结果　初检出文献 293 篇，按照纳入与排除标准，最终纳入 25 篇，其中指南 5 篇，主要涉及灾后妊娠结局、胎儿生长发育和孕妇外伤急救三方面。综合数据库文献及官方网站信息发现，现有文献以回顾性分析和队列研究为主，与灾难相关的孕妇医疗保健研究较少，尚无灾后孕产妇急救流程的相关指南，这与灾难的突发性、罕见性和复杂性相关。
结论　灾后孕妇医疗保健及医疗救助是一个系统工程，需要国家综合考虑孕妇需求、疾病负担等因素，统筹规划、总体设计。

引用本文： 傅璟,胡丽娜,许良智,周容,王和. 循证制定灾后孕妇医疗保健及医疗救助模式初探. 中国循证医学杂志, 2008, 08(9): 698-702. doi: 10.7507/1672-2531.20080157 复制

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2.	WHO. Reproductive health during conflict and displacement: a guide for programme managers. 2000.
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13.	Lederman SA, Rauh V, Weiss L, et al. The Effects of the World Trade Center Event on Birth Outcomes among Term Del iveries at Three Lower Manhattan Hospitals. Health Perspect, 2004, 112: 1772-1778.
14.	Renuka J, Aberra B, Piyasena CL, et al. Assessment of nutritional status of children under five years of age, pregnant women, and lactating women living in relief camps after the tsunami in Sri Lanka. Food & Nutrition Bulletin, 2006, 27(2): 144-152.
15.	Landrigan PJ, Forman J, Galvez M, et al. Impact of september 11 World Trade Center disaster on children and pregnant women. Mount Sinai Journal of Medicine, 2008, 75(2): 129-134.
16.	Rubacka JM, Schmeidler J, Nomura Y, et al. The relationship between PTSD arousal symptoms and depression among mothers exposed to the World Trade Center attacks. Journal of Nervous & Mental Disease, 2008, 196(6): 504-507.
17.	Selten JP, Yolanda van der G, van Duursen R, et al. Kahn. Psychotic illness after prenatal exposure to the 1953 Dutch Flood Disaster. Schizophrenia Research, 1999, 35: 243-245.
18.	Thul itha WKA. Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka. Social Science & Medicine, 2008, 66(4): 994-1007.
19.	Weissman A, Siegler E, Neiger R, et al. The influence of increased seismic activity on pregnancy outcome. Eur J Obstet Gynecol Reprod.
20.	Rudlo VU. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
21.	Scorpio R, Esposito T, Smith G, et al. Blunt trauma during pregnancy: factors aVecting fetal outcome. J Trauma, 1992, 32: 213-216.
22.	Kady DE. Perinatal Outcomes of Traumatic Injuries During Pregnancy. Clinical Obstetrics and Gynecology, 2008, 50(3): 582-591.
23.	Sugrue M, Kolkman KA. Trauma During Pregnancy. Aust J Rural Health, 1999, 7: 82-84.
24.	Udo RV. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
25.	Chames M, Pearlman M. Trauma During Pregnancy: Outcomes and Clinical Management. Clinical Obstetrics & Gynecology, 2008, 51(2): 398-408.
26.	Warner MW, Salfinger SG. Management of trauma during pregnancy. ANZ J Surg, 2004, 74: 125-128.

1. Biol, 1989, 31(3): 233-236.
2. WHO. Reproductive health during conflict and displacement: a guide for programme managers. 2000.
3. United Nations High Commissioner for Refugees. Reproductive health in refugee situations. 1999.
4. United Nations High Commissioner for Refugees. UNHCR Handbook for the Protection of Women and Girls. 2008.
5. Atlanta GA. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Department of Health and Human Services. Reproductive Health Assessment Toolkit for Confl ict-Affected Women. 2007.
6. Cooperative for Assistance and Rel ief. Everywhere Raising Awareness for Reproductive Health In Complex Emergencies: A Training Manual. 2002.
7. Ewing B, Buchholtz S, Rotanz R. Assisting pregnant women to prepare for disaster.The American Journal of Maternal Child Nursing, 2008, 2: 98-103.
8. Glynn LM, Wadfwa PD. When stress happens matters effects of earthquake timing on stress responsivity in pregnancy. Am J Obstetric Gynecology, 2001, 184: 637-642.
9. Chang HL, Chang TC, Lin TY, et al. Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake. Psychiatry Clin Neurosci, 2002, 56(2): 139-144.
10. Engel SM, Berkowitz GS, Wolff MS, et al. Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome. Paediatric and Perinatal Epidemiology, 2005, 19(5): 334-341.
11. Laplante DP, Barr RG, Brunet A, et al. Stress during pregnancy affects general intellectual and language functioning in human toddlers. Pediatr Res, 2004, 56(3): 400-410.
12. Brand SR, Engel SM, Canfield RL, et al. The Effect of Maternal PTSD Following in Utero Trauma Exposure on Behavior and Temperament in the 9-Month-Old Infant. Annals of the New York Academy of Sciences, 2006, 1071(1): 454-458.
13. Lederman SA, Rauh V, Weiss L, et al. The Effects of the World Trade Center Event on Birth Outcomes among Term Del iveries at Three Lower Manhattan Hospitals. Health Perspect, 2004, 112: 1772-1778.
14. Renuka J, Aberra B, Piyasena CL, et al. Assessment of nutritional status of children under five years of age, pregnant women, and lactating women living in relief camps after the tsunami in Sri Lanka. Food & Nutrition Bulletin, 2006, 27(2): 144-152.
15. Landrigan PJ, Forman J, Galvez M, et al. Impact of september 11 World Trade Center disaster on children and pregnant women. Mount Sinai Journal of Medicine, 2008, 75(2): 129-134.
16. Rubacka JM, Schmeidler J, Nomura Y, et al. The relationship between PTSD arousal symptoms and depression among mothers exposed to the World Trade Center attacks. Journal of Nervous & Mental Disease, 2008, 196(6): 504-507.
17. Selten JP, Yolanda van der G, van Duursen R, et al. Kahn. Psychotic illness after prenatal exposure to the 1953 Dutch Flood Disaster. Schizophrenia Research, 1999, 35: 243-245.
18. Thul itha WKA. Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka. Social Science & Medicine, 2008, 66(4): 994-1007.
19. Weissman A, Siegler E, Neiger R, et al. The influence of increased seismic activity on pregnancy outcome. Eur J Obstet Gynecol Reprod.
20. Rudlo VU. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
21. Scorpio R, Esposito T, Smith G, et al. Blunt trauma during pregnancy: factors aVecting fetal outcome. J Trauma, 1992, 32: 213-216.
22. Kady DE. Perinatal Outcomes of Traumatic Injuries During Pregnancy. Clinical Obstetrics and Gynecology, 2008, 50(3): 582-591.
23. Sugrue M, Kolkman KA. Trauma During Pregnancy. Aust J Rural Health, 1999, 7: 82-84.
24. Udo RV. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
25. Chames M, Pearlman M. Trauma During Pregnancy: Outcomes and Clinical Management. Clinical Obstetrics & Gynecology, 2008, 51(2): 398-408.
26. Warner MW, Salfinger SG. Management of trauma during pregnancy. ANZ J Surg, 2004, 74: 125-128.

《中国循证医学杂志》

循证制定灾后孕妇医疗保健及医疗救助模式初探

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《中国循证医学杂志》

循证制定灾后孕妇医疗保健及医疗救助模式初探

摘要 全文 图表 视频 参考文献 施引文献 补充材料

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下一篇

Format

Content

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