Medication used in Denmark in the latent phase of labor - Do we know what we are doing?
Medication used in Denmark in the latent phase of labor - Do we know what we are doing?
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DOI：
10.1016/j.srhc.2020.100515
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发表时间：
2020-10-01
影响因子：
1.8
通讯作者：
Henriksen, Tine Brink
中科院分区：
文献类型：
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作者：
Glavind, Julie;Greve, Tine;Henriksen, Tine Brink
目的：为了描述在丹麦的潜伏期的劳动（即治疗性休息），并估计使用频率的各种组合的药物治疗。方法：一个非正式的电子邮件调查的基础上，从丹麦助产士或产科医生的个人信息。主要结果的措施是单独或组合（“鸡尾酒”）治疗性休息在丹麦分娩病房在潜伏期的劳动力和他们的使用频率的类型和剂量的药物。结果：所有21个分娩病房在丹麦参加了调查。药物的种类和剂量差异很大。两个产房使用吗啡处方，没有其他药物用于治疗性休息。其余19/21个分娩病房（90%）使用标准的“鸡尾酒”，其中有2至4种不同类型的药物; 19/21个病房（90%）使用轻度镇痛药（扑热息痛），17/21个病房（81%）使用抗焦虑药/催眠药，14/21个病房（64%）在其基础鸡尾酒中使用强效镇痛药（阿片类药物）。10个产房（48%）将阿片类药物、镇静剂和扑热息痛混合在基本鸡尾酒中。7%和21%之间的所有孕妇被给予cocktails.Conclusion：在一个小的国家，我们发现相当大的国家变化的药物或药物组合中使用的潜伏期的劳动力，和多药是标准的大多数分娩病房。
Objective: To describe the various combinations of medication used in Denmark in the latent phase of labor (i.e. for therapeutic rest) and to estimate the frequency of use.Methods: An informal e-mail survey based on personal information from Danish midwives or staff obstetricians. The main outcome measures were type and dosage of medications used individually or in combination ("cocktail") for therapeutic rest in Danish delivery wards during the latent phase of labor and also the frequency of their use.Results: All twenty-one delivery wards in Denmark participated in the survey. The types and dosages of medication varied substantially. Two delivery wards used prescriptions on morphine with no other medication for therapeutic rest. The remaining 19/21 delivery wards (90%) used a standard "cocktail" with two to four different types of medications; 19/21 wards (90%) used a mild analgesic (paracetamol), 17/21 (81%) used anxiolytics/hypnotics, and 14/21 (64%) wards used a strong analgesic (opioid) in their basic cocktail. Ten delivery wards (48%) combined an opioid, a sedative, and paracetamol in their basic cocktail. Between 7% and 21% of all pregnant women were given a cocktail.Conclusion: In a small country, we found considerable national variation in the medication or combinations of medication used in the latent phase of labor, and polypharmacy was standard in the majority of the delivery wards.