Care technologies to prevent and control hemorrhage in the third stage of labor: a systematic review
Care technologies to prevent and control hemorrhage in the third stage of labor: a systematic review
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DOI：
10.1590/1518-8345.2761.3165
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发表时间：
2019-01-01
影响因子：
1.8
通讯作者：
Lynn, Fiona Ann
中科院分区：
文献类型：
--
作者：
Rangel, Rita de Cássia Teixeira;Souza, Maria de Lourdes de;Lynn, Fiona Ann
目的：确定用于预防和控制第三产程出血的卫生技术的贡献的证据。方法：系统回顾，数据库检索。首先，两名研究人员独立选择了这些论文，并在第二个时间点举行了一次协调会议。Kappa系数被用来评估一致性，而建议、评估、发展和评估的评级被用来评估偏见的风险和对证据水平进行分类。结果：共纳入42篇文献，其中34篇涉及产品技术，主要涉及药理类产品，2篇涉及血液透明塑料袋采集器的使用以及出生间隔和产前保健的贡献。这八篇论文涉及的过程技术包括第三产程的积极管理、受控脐带牵引、子宫按摩和教育干预。结论：61.90%的论文证实了产品和工艺技术的高度和中等证据。证据的数量证实了预防和控制出血的技术的贡献。临床护士应提供以科学为基础的护理，并制定针对护理行动的规程。
Objective: to identify evidence concerning the contribution of health technologies used to prevent and control hemorrhaging in the third stage of labor. Method: systematic review with database searches. First, two researchers independently selected the papers and, at a second point in time, held a reconciliation meeting. The Kappa coefficient was used to assess agreement, while the Grading of Recommendations, Assessment, Development and Evaluation was adopted to assess risk of bias and classify level of evidence. Results: in this review, 42 papers were included, 34 of which addressed product technologies, most referred to pharmacological products, while two papers addressed the use of blood transparent plastic bags collector and the contribution of birth spacing and prenatal care. The eight papers addressing process technologies included the active management of the third stage of labor, controlled cord traction, uterine massage, and educational interventions. Conclusion: product and process technologies presented high and moderate evidence confirmed in 61.90% of the papers. The levels of evidence confirm the contribution of technologies to prevent and control hemorrhaging. Clinical nurses should provide scientific-based care and develop protocols addressing nursing care actions.