Care Bundles:Enhanced Recovery After Delivery

查看全文 作　　者：Ling-Qun-[1,2,3,4,5]Hu;Plato [1]J.Lysandrou;Rebecca [2]Minehart;Jing-Ping [3]Wang;Yun [1]Xia;Yiling [4]Hu;Brett [5]Worly 机构地区：[1]Department of Anesthesiology,The Ohio State University Wexner Medical Center,Columbus,OH 43210,USA;[2]Department of Anesthesiology,Critical Care,and Pain Medicine,Massachusetts General Hospital,Boston,MA 02114,USA;[3]Department of Anesthesiology,Massachusetts General Hospital,Boston,MA 02114,USA;[4]Columbus Academy,Gahanna,OH 43230,USA;[5]Department of Obstetrics and Gynecology,The Ohio State University Wexner Medical Center,Columbus,OH 43210,USA 出　　处：《Maternal-Fetal Medicine》索引2023年第5卷第3期,共8页 摘　　要：The care of obstetrics patients has improved dramatically over the past few decades.Unfortunately,rates of cesarean section remain high,and decreasing this rate requires close care and follow-up in the prenatal outpatient setting.Counseling regarding cesarean delivery and vaginal delivery is imperative.Opportunities still exist in helping patients objectively weigh the decision for cesarean delivery versus vaginal delivery.Additional developments have occurred in the intrapartum and the postpartum setting,with an aim to improve patient and neonatal outcomes.Changes have been implemented for patients undergoing cesarean delivery including preoperative and intraoperative treatment of pain,nausea,and vomiting,as well as postoperative care bundles that improve patient outcomes.Innovations have also occurred in the care of postpartum patients after vaginal delivery,again with improvements in patient outcomes.This article summarizes the current evidence,provides care recommendations,and identifies the next steps in improving obstetrics care. 关 键 词：Delivery,obstetric Prenatal care Cesarean delivery Vaginal delivery Intrapartum care Postpartum care Enhanced recovery after delivery