Памятка «10+ способов снизить риск КС»
(ссылки на исследования к каждому пункту)
  • Способ 1
    Готовьтесь к родам комплексно
    Источники:
    1. Kennedy, H., Doig, E., Tillman, S., Strauss, A., Williams, B., Pettker, C., & Illuzzi, J. (2016). Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study.. Birth, 43 4, 336-345. https://doi.org/10.1111/birt.12245
  • Способ 2
    Будьте физически активны во время беременности
    Источники:
    1. Zhang, D., Ruchat, S., Silva-José, C., Gil-Ares, J., Barakat, R., & Sánchez-Polán, M. (2023). Influence of Physical Activity during Pregnancy on Type and Duration of Delivery, and Epidural Use: Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 12. https://doi.org/10.3390/jcm12155139
  • Способ 3
    Практикуйте информированный выбор
    Источники:
    1. https://www.scirp.org/journal/paperinformation?paperid=78784
    2. Hadizadeh-Talasaz, F., Ghoreyshi, F., Mohammadzadeh, F., & Rahmani, R. (2021). Effect of shared decision making on mode of delivery and decisional conflict and regret in pregnant women with previous cesarean section: a randomized clinical trial. BMC Pregnancy and Childbirth, 21. https://doi.org/10.1186/s12884-021-03615-w.
  • Способ 4
    Делайте УЗИ в конце беременности только по показаниям
    Источники:
    1. Declercq, E.R., Sakala, C., Corry, M.P., Applebaum, S., et al. (2014). “Major survey findings of listening to mothers(SM) III: New mothers speak out: Report of national surveys of women’s childbearing experiences.” J Perinat Educ 23(1): 17-24.
    2. Dude, A.M., Davis, B., Delaney, K., et al. (2019). “Sonographic estimated fetal weight and Cesarean delivery among nulliparous women with obesity.” AJP Rep 9(2): e127-e132.
  • Способ 5
    Если ваш малыш в тазовом предлежании - рассмотрите вариант наружного акушерского переворота
    Источники:
    1. Caughey, A. B., Cahill, A. G., Guise, J. M., Rouse, D. J., & American College of Obstetricians and Gynecologists. (2014). Safe prevention of the primary cesarean delivery. American journal of obstetrics and gynecology, 210(3), 179-193.
    2. Maccabe, C. (2023). Incorporating Non-Pharmacological Labor Coping Methods to Improve Nursing Care and Reduce Primary Cesarean Section Rates: A Quality Improvement Project.
    3. Hofmeyr, G.J., Hannah, M., Lawrie, T.A. (2015). “Planned caesarean section for term breech delivery.” Cochrane Database Syst Rev 7:CD000166.
  • Способ 6
    Найдите индивидуальную акушерку для ведения родов
    Источники:
    1. Cox, K., & King, T. (2015). Preventing Primary Cesarean Births: Midwifery Care. Clinical Obstetrics and Gynecology, 58, 282–293. https://doi.org/10.1097/GRF.0000000000000108
    2. Attanasio, L., Kozhimannil, K.B. (2018). “Relationship between hospital-level percentage of midwife-attended births and obstetric procedure utilization.” J Midwifery Womens Health 63(1): 14-22. doi:10.1111/jmwh.12702
    3. Souter, V., Nethery, E., Kopas, M.L., et al. (2019). “Comparison of midwifery and obstetric care in low-risk hospital births.” Obstet Gynecol 134(5):1056-1065.
    4. Sandall, J., Fernandez Turienzo, C., Devane, D., et al. (2024). “Midwife continuity of care models versus other models of care for childbearing women.” Cochrane Database Syst Rev 2024(4):CD004667.
  • Способ 7
    Дождитесь активных схваток, прежде чем ехать в роддом (если у вас нет осложнений)
    Источники:
    1. Kjerulff, K.H., Attanasio, L.B., Vanderlaan, J., et al. (2023). “Timing of hospital admission at first childbirth: A prospective cohort study.” PLOS ONE 18(2): e0281707. doi:10.1371/journal.pone.0281707
    2. Mikolajczyk, R.T., Zhang, J., Grewal, J., et al. (2016). “Early versus late admission to labor affects labor progression and risk of Cesarean section in nulliparous women.” Front Med (Lausanne) 3:26.
    3. Neal, J.L., Lamp, J.M., Buck, J.S., Lowe, N.K., et al. (2014). “Outcomes of nulliparous women with spontaneous labor onset admitted to hospitals in preactive versus active labor.” J Midwifery Womens Health 59(1): 28-34.
  • Способ 8
    Пейте достаточно жидкости во время родов
    Источники:
    1. Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). “Outcomes of care for 16,924 planned home births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009.” J Midwifery Womens Health. 59(1): 17-27.
    2. Ehsanipoor, R.M., Saccone, G., Seligman, N.S., et al. (2017). “Intravenous fluid rate for reduction of cesarean delivery rate in nulliparous women: A systematic review and meta-analysis.” Acta Obstet Gynecol Scand 96(7): 804-811.
    3. Stapleton, S.R., Osborne, C., Illuzzi, J. (2013). “Outcomes of care in birth centers: Demonstration of a durable model.” J Midwifery Womens Health. 58(1): 3-14.
  • Способ 9
    Выбирайте роддом с комфортной обстановкой
    Источники:
    1. Gams, B., Neerland, C., & Kennedy, S. (2019). Reducing Primary Cesareans: An Innovative Multipronged Approach to Supporting Physiologic Labor and Vaginal Birth. The Journal of Perinatal & Neonatal Nursing, 33, 52–60. https://doi.org/10.1097/JPN.0000000000000378
  • Способ 10
    Наймите доулу для непрерывной поддержки
    Источники:
    1. Oliveira, C., Bortoli, M., Setti, C., Luquine, C., & Toma, T. (2022). [Continuous support during childbirth to reduce cesarean sections: evidence brief for policy].. Ciencia & saude coletiva, 27 2, 427-439. https://doi.org/10.1590/1413-81232022272.41572020
    2. Lewis, R., Jn, M., Andrews, J., , J., Likis, F., Surawicz, T., Walker, S., & Hartmann, K. (2012). Future Research Needs for Strategies To Reduce Cesarean Birth in Low-Risk Women.
    3. Bohren, M.A., Hofmeyr, G.J., Sakala, C., et al. (2017). “Continuous support for women during childbirth.” Cochrane Database Syst Rev 7: CD003766.
    4. Greiner, K.S., Hersh, A.R., Hersh, S.R., et al. (2019). “The cost-effectiveness of professional doula care for a woman’s first two births: A decision analysis model.” J Midwifery Womens Health 64(4): 410-420.
  • Способ 11
    Рассмотрите вариант VBAC, если у вас был опыт КС
    Источники:
    1. Miazga, E., Reed, C., Tunde-Byass, M., Cipolla, A., Shapiro, J., & Shore, E. (2020). Decreasing Cesarean Delivery Rates Using a Trial of Labour After Cesarean (TOLAC) Bundle.. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC. https://doi.org/10.1016/j.jogc.2020.02.113.
    2. Rouzi, A., Alamoudi, R., Ghazali, S., Almansouri, N., Kafy, A., Alrumaihi, M., Hariri, W., & Alsafri, E. (2021). A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes. International Journal of Women's Health, 13, 1081 - 1086. https://doi.org/10.2147/IJWH.S334617.
    3. Dombrowski, M., Illuzzi, J., Reddy, U., Lipkind, H., Lee, H., Lin, H., Lundsberg, L., & Xu, X. (2020). Trial of Labor After Two Prior Cesarean Deliveries: Patient and Hospital Characteristics and Birth Outcomes.. Obstetrics & Gynecology. https://doi.org/10.1097/AOG.0000000000003845.
  • Способ 12
    Будьте активны во время схваток: ходьба, движения, танцы
    Источники:
    1. Gams, B., Neerland, C., & Kennedy, S. (2019). Reducing Primary Cesareans: An Innovative Multipronged Approach to Supporting Physiologic Labor and Vaginal Birth. The Journal of Perinatal & Neonatal Nursing, 33, 52–60. https://doi.org/10.1097/JPN.0000000000000378
    2. Cox, K., & King, T. (2015). Preventing Primary Cesarean Births: Midwifery Care. Clinical Obstetrics and Gynecology, 58, 282–293. https://doi.org/10.1097/GRF.0000000000000108
    3. Lawrence, A., Lewis, L., Hofmeyr, G.J., et al. (2013). “Maternal positions and mobility during first stage labour.” Cochrane Database Syst Rev 2012;(10):CD003934.
  • Способ 13
    Используйте прерывистую аускультацию вместо непрерывного КТГ-мониторинга
    Источники:
    1. Gams, B., Neerland, C., & Kennedy, S. (2019). Reducing Primary Cesareans: An Innovative Multipronged Approach to Supporting Physiologic Labor and Vaginal Birth. The Journal of Perinatal & Neonatal Nursing, 33, 52–60. https://doi.org/10.1097/JPN.0000000000000378
    2. Wattar, B.H.A., Honess, E., Bunnewell, S., et al. (2021). “Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis.” CMAJ 193(14): E468-E477.
    3. Alfirevic, Z., Devane, D., Gyte, G.M., et al. (2017). “Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour.” Cochrane Database Syst Rev. 2017;2(2): CD006066.
  • Способ 14
    Используйте немедицинские методы обезболивания
    Источники:
    1. Maccabe, C. (2023). Incorporating Non-Pharmacological Labor Coping Methods to Improve Nursing Care and Reduce Primary Cesarean Section Rates: A Quality Improvement Project.
    2. Chaillet, N., Belaid, L., Crochetière, C., Roy, L., Gagné, G., Moutquin, J., Rossignol, M., Dugas, M., Wassef, M., & Bonapace, J. (2014). Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis.. Birth, 41 2, 122-37 . https://doi.org/10.1111/birt.12103.
    3. Rodrigues, V., Abreu, Y., Santos, C., Gatti, A., Murer, G., Gontijo, B., Alves, J., Cunha, T., Azevedo, V., Mendonça, T., & Paro, H. (2022). Nonpharmacological labor pain management methods and risk of cesarean birth: A retrospective cohort study.. Birth. https://doi.org/10.1111/birt.12617.
  • Способ 15
    Самостоятельно выбирайте позы для потуг, желательно те, в которых копчик и крестец сохраняют подвижность
    Источники:
    1. Zang, Y., Lu, H., Zhao, Y., Huang, J., Ren, L., & Li, X. (2020). Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta-analysis.. Journal of clinical nursing. https://doi.org/10.1111/jocn.15376.
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