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Mumsnet流产护理代码:两分钟版本

Mumsnet的用户已经开发了一个5点流产护理代码,呼吁直截了当地改善父母所接受的治疗。

Mumsnet的总部|最后更新,2021年7月16日

Mumsnet users have developed a five-point Miscarriage Code of Care, which calls for straightforward improvements in the treatment parents receive.<\/p>","value":"

Mumsnet users have developed a five-point Miscarriage Code of Care, which calls for straightforward improvements in the treatment parents receive.<\/p>"},{"meta_id":105819,"post_id":7033,"meta_key":"body","meta_value":"a:12:{i:0;s:7:\"content\";i:1;s:3:\"mpu\";i:2;s:7:\"content\";i:3;s:11:\"block-quote\";i:4;s:7:\"content\";i:5;s:11:\"block-quote\";i:6;s:7:\"content\";i:7;s:11:\"block-quote\";i:8;s:7:\"content\";i:9;s:11:\"block-quote\";i:10;s:7:\"content\";i:11;s:11:\"block-quote\";}","value":["content","mpu","content","block-quote","content","block-quote","content","block-quote","content","block-quote","content","block-quote"]},{"meta_id":105820,"post_id":7033,"meta_key":"body_0_content","meta_value":"

The Mumsnet Miscarriage Code of Care: the two-minute version<\/h1>

According to Mumsnet users, the treatment and support women receive fails to meet their needs or measure up to official national guidelines. In conjunction with Mumsnetters, we have drafted a Code of Care. This is what needs to change and why. <\/strong>\u00a0<\/p>","value":"

The Mumsnet Miscarriage Code of Care: the two-minute version<\/h1>

According to Mumsnet users, the treatment and support women receive fails to meet their needs or measure up to official national guidelines. In conjunction with Mumsnetters, we have drafted a Code of Care. This is what needs to change and why. <\/strong>\u00a0<\/p>"},{"meta_id":308893,"post_id":7033,"meta_key":"_edit_last","meta_value":"3","value":"3"},{"meta_id":308914,"post_id":7033,"meta_key":"_expiration-date-status","meta_value":"saved","value":"saved"},{"meta_id":308917,"post_id":7033,"meta_key":"_edit_lock","meta_value":"1629296848:22","value":"1629296848:22"},{"meta_id":309676,"post_id":7033,"meta_key":"_metadata_meta_title","meta_value":"field_5ff8482f6b791","value":"field_5ff8482f6b791"},{"meta_id":309677,"post_id":7033,"meta_key":"_metadata_meta_description","meta_value":"field_5ff848406b792","value":"field_5ff848406b792"},{"meta_id":309678,"post_id":7033,"meta_key":"metadata_do_not_allow_indexing","meta_value":"0","value":"0"},{"meta_id":309679,"post_id":7033,"meta_key":"_metadata_do_not_allow_indexing","meta_value":"field_60255d5f751c0","value":"field_60255d5f751c0"},{"meta_id":309680,"post_id":7033,"meta_key":"metadata","meta_value":"","value":""},{"meta_id":309681,"post_id":7033,"meta_key":"_metadata","meta_value":"field_5fd3830066848","value":"field_5fd3830066848"},{"meta_id":309682,"post_id":7033,"meta_key":"show_sponsored_content_disclaimer","meta_value":"0","value":"0"},{"meta_id":309683,"post_id":7033,"meta_key":"_show_sponsored_content_disclaimer","meta_value":"field_6070087df5508","value":"field_6070087df5508"},{"meta_id":309684,"post_id":7033,"meta_key":"_standfirst","meta_value":"field_5fd38e9e96b76","value":"field_5fd38e9e96b76"},{"meta_id":309685,"post_id":7033,"meta_key":"content_author","meta_value":"","value":""},{"meta_id":309686,"post_id":7033,"meta_key":"_content_author","meta_value":"field_5fd379f22a693","value":"field_5fd379f22a693"},{"meta_id":309687,"post_id":7033,"meta_key":"hero_image","meta_value":"21062","value":"21062"},{"meta_id":309688,"post_id":7033,"meta_key":"_hero_image","meta_value":"field_6006f13821768","value":"field_6006f13821768"},{"meta_id":309689,"post_id":7033,"meta_key":"_body_0_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":309690,"post_id":7033,"meta_key":"_body","meta_value":"field_5ff5e30b00b34","value":"field_5ff5e30b00b34"},{"meta_id":309691,"post_id":7033,"meta_key":"default_hub","meta_value":"8095","value":"8095"},{"meta_id":309692,"post_id":7033,"meta_key":"_default_hub","meta_value":"field_5fd379f22a5f0","value":"field_5fd379f22a5f0"},{"meta_id":309693,"post_id":7033,"meta_key":"hub_data_hub_image","meta_value":"","value":""},{"meta_id":309694,"post_id":7033,"meta_key":"_hub_data_hub_image","meta_value":"field_5ff46fa656d18","value":"field_5ff46fa656d18"},{"meta_id":309695,"post_id":7033,"meta_key":"hub_data_hub_title","meta_value":"","value":""},{"meta_id":309696,"post_id":7033,"meta_key":"_hub_data_hub_title","meta_value":"field_5ff847a9e8dce","value":"field_5ff847a9e8dce"},{"meta_id":309697,"post_id":7033,"meta_key":"hub_data_hub_teaser_text","meta_value":"","value":""},{"meta_id":309698,"post_id":7033,"meta_key":"_hub_data_hub_teaser_text","meta_value":"field_5ff8686325fd2","value":"field_5ff8686325fd2"},{"meta_id":309699,"post_id":7033,"meta_key":"hub_data","meta_value":"","value":""},{"meta_id":309700,"post_id":7033,"meta_key":"_hub_data","meta_value":"field_5fd37e2cba3bd","value":"field_5fd37e2cba3bd"},{"meta_id":309701,"post_id":7033,"meta_key":"manual_related_links","meta_value":"","value":""},{"meta_id":309702,"post_id":7033,"meta_key":"_manual_related_links","meta_value":"field_5fd37f6aba3c0","value":"field_5fd37f6aba3c0"},{"meta_id":309703,"post_id":7033,"meta_key":"sponsor","meta_value":"","value":""},{"meta_id":309704,"post_id":7033,"meta_key":"_sponsor","meta_value":"field_5fd3805f79998","value":"field_5fd3805f79998"},{"meta_id":310684,"post_id":7033,"meta_key":"body_1_id","meta_value":"1","value":"1"},{"meta_id":310685,"post_id":7033,"meta_key":"_body_1_id","meta_value":"field_605356a45ac1b","value":"field_605356a45ac1b"},{"meta_id":310686,"post_id":7033,"meta_key":"body_2_content","meta_value":"

1. Supportive staff<\/h2>

GPs, Early Pregnancy Assessment Unit (EPAU) and A&E staff should be trained in communication techniques (including things NOT to say to women who are miscarrying), basic counselling skills and the psychological effects of miscarriage. Follow-up appointments and\/or counselling for those who feel they need it should be routinely offered after miscarriage. \u00a0<\/p>","value":"

1. Supportive staff<\/h2>

GPs, Early Pregnancy Assessment Unit (EPAU) and A&E staff should be trained in communication techniques (including things NOT to say to women who are miscarrying), basic counselling skills and the psychological effects of miscarriage. Follow-up appointments and\/or counselling for those who feel they need it should be routinely offered after miscarriage. \u00a0<\/p>"},{"meta_id":310687,"post_id":7033,"meta_key":"_body_2_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":310688,"post_id":7033,"meta_key":"body_3_quote","meta_value":"A receptionist greeted me with the phrase 'you again' when I was in hospital for my fifth miscarriage.","value":"A receptionist greeted me with the phrase 'you again' when I was in hospital for my fifth miscarriage."},{"meta_id":310689,"post_id":7033,"meta_key":"_body_3_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":310690,"post_id":7033,"meta_key":"body_4_content","meta_value":"

2. Access to scanning<\/h2>

Access to scanning facilities in the case of suspected miscarriage should be easier. This could mean Early Pregnancy Assessment Units (EPAUs) opening seven days a week and\/or portable ultrasound and trained medical staff being available in A&E and gynaecological units at all times as standard. Those who are miscarrying naturally at home should have the option of a scan to check that there are no ongoing complications.<\/p>","value":"

2. Access to scanning<\/h2>

Access to scanning facilities in the case of suspected miscarriage should be easier. This could mean Early Pregnancy Assessment Units (EPAUs) opening seven days a week and\/or portable ultrasound and trained medical staff being available in A&E and gynaecological units at all times as standard. Those who are miscarrying naturally at home should have the option of a scan to check that there are no ongoing complications.<\/p>"},{"meta_id":310691,"post_id":7033,"meta_key":"_body_4_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":310692,"post_id":7033,"meta_key":"body_5_quote","meta_value":"It was a real battle to get a scan. I kept on being told to wait and see, or that my bleeding wasn\u2019t heavy enough.","value":"It was a real battle to get a scan. I kept on being told to wait and see, or that my bleeding wasn\u2019t heavy enough."},{"meta_id":310693,"post_id":7033,"meta_key":"_body_5_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":310694,"post_id":7033,"meta_key":"body_6_content","meta_value":"

3. Appropriate treatment spaces<\/h2>

Women undergoing miscarriage or suspected miscarriage should be separated from women having routine antenatal and postnatal care, or women terminating an unwanted pregnancy. EPAUs should be sited in hospitals' gynaecology, rather than antenatal, departments or next to A&E departments, to ease women's referral route. Waiting times in confirmed as well as threatened pregnancy loss, but, in particular, for women who need surgery, should be kept to a minimum and not be spent in antenatal or labour ward.\u00a0<\/p>","value":"

3. Appropriate treatment spaces<\/h2>

Women undergoing miscarriage or suspected miscarriage should be separated from women having routine antenatal and postnatal care, or women terminating an unwanted pregnancy. EPAUs should be sited in hospitals' gynaecology, rather than antenatal, departments or next to A&E departments, to ease women's referral route. Waiting times in confirmed as well as threatened pregnancy loss, but, in particular, for women who need surgery, should be kept to a minimum and not be spent in antenatal or labour ward.\u00a0<\/p>"},{"meta_id":310695,"post_id":7033,"meta_key":"_body_6_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":310696,"post_id":7033,"meta_key":"body_7_quote","meta_value":"I was put on the labour suite to wait [for the surgery to remove the remains of the baby]. I could hear women giving birth.","value":"I was put on the labour suite to wait [for the surgery to remove the remains of the baby]. I could hear women giving birth."},{"meta_id":310697,"post_id":7033,"meta_key":"_body_7_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":310698,"post_id":7033,"meta_key":"body_8_content","meta_value":"

4. Good information and effective treatment<\/h2>

All women experiencing miscarriage should receive clear and honest information, sympathetically delivered. Women should be given information about all the available management options - expectant, medical and surgical - and should be able, clinical considerations allowing, to choose the method of management that best suits their circumstances. Women miscarrying at home should be offered appropriate prescription pain relief. In the case of miscarriage occurring in hospital, doctors should discuss with the parents what they wish to happen to the foetus (i.e. it should not be disposed of routinely without prior consultation).<\/p>","value":"

4. Good information and effective treatment<\/h2>

All women experiencing miscarriage should receive clear and honest information, sympathetically delivered. Women should be given information about all the available management options - expectant, medical and surgical - and should be able, clinical considerations allowing, to choose the method of management that best suits their circumstances. Women miscarrying at home should be offered appropriate prescription pain relief. In the case of miscarriage occurring in hospital, doctors should discuss with the parents what they wish to happen to the foetus (i.e. it should not be disposed of routinely without prior consultation).<\/p>"},{"meta_id":310699,"post_id":7033,"meta_key":"_body_8_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":310700,"post_id":7033,"meta_key":"body_9_quote","meta_value":"I had been under the impression that miscarrying at home would be the easy option; I was given no information whatsoever. I was in agony.","value":"I had been under the impression that miscarrying at home would be the easy option; I was given no information whatsoever. I was in agony."},{"meta_id":310701,"post_id":7033,"meta_key":"_body_9_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":310702,"post_id":7033,"meta_key":"body_10_content","meta_value":"

5. Joined-up care<\/h2>

Community midwife teams and GPs should be informed immediately when miscarriage has occurred, and subsequent bookings and scans cancelled, to avoid women who have miscarried being chased by HCPs for 'missing' pregnancy appointments.<\/p>","value":"

5. Joined-up care<\/h2>

Community midwife teams and GPs should be informed immediately when miscarriage has occurred, and subsequent bookings and scans cancelled, to avoid women who have miscarried being chased by HCPs for 'missing' pregnancy appointments.<\/p>"},{"meta_id":310703,"post_id":7033,"meta_key":"_body_10_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":310704,"post_id":7033,"meta_key":"body_11_quote","meta_value":"The hospital said they\u2019d ask a health visitor to contact me. That was two months ago; nobody has been in touch.","value":"The hospital said they\u2019d ask a health visitor to contact me. That was two months ago; nobody has been in touch."},{"meta_id":310705,"post_id":7033,"meta_key":"_body_11_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":1285968,"post_id":7033,"meta_key":"hide_hero_image","meta_value":"0","value":"0"},{"meta_id":1285969,"post_id":7033,"meta_key":"_hide_hero_image","meta_value":"field_60d1cf7781284","value":"field_60d1cf7781284"}],"taxonomies":[{"term_taxonomy_id":76,"term_id":76,"taxonomy":"category","description":"","parent":0,"count":57,"pivot":{"object_id":7033,"term_taxonomy_id":76},"term":{"term_id":76,"name":"Campaigns","slug":"campaigns","term_group":0}},{"term_taxonomy_id":102,"term_id":102,"taxonomy":"category","description":"","parent":0,"count":67,"pivot":{"object_id":7033,"term_taxonomy_id":102},"term":{"term_id":102,"name":"Health","slug":"health","term_group":0}}],"thumbnail":null}">

流产护理守则

Mumsnet流产护理代码:两分钟版本

根据Mumsnet用户的说法,女性接受的治疗和支持没有满足她们的需求,也不符合官方的国家指导方针。我们与“妈妈网”(Mumsnetters)合作,起草了一份“关爱守则”(Code of Care)。这就是需要改变的地方,以及改变的原因。

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1.支持人员

全科医生、早孕评估单位(EPAU)和急诊室的工作人员应该接受沟通技术(包括不要对流产妇女说的话)、基本咨询技能和流产的心理影响方面的培训。对于那些觉得需要的人,应该在流产后定期提供随访预约和/或咨询。

当我第五次流产住院时,接待员用“你又来了”这句话来问候我。

2.访问扫描

在怀疑流产的情况下,使用扫描设备应该更容易。这可能意味着每周7天开放早孕评估单位(EPAUs)和/或便携式超声波和经过培训的医务人员作为标准随时可在急诊室和妇科单位提供服务。那些在家自然流产的人应该可以选择进行扫描,以检查是否有持续的并发症。

做扫描真是一场持久战。我一直被告知等着瞧,或者说是我的血不够多。

3.适当的治疗空间

流产或疑似流产的妇女应与进行常规产前和产后护理的妇女或终止意外怀孕的妇女分开。EPAUs应设在医院的妇科,而不是产前部门或紧挨着急诊室,以方便妇女转诊。已确认的和可能的妊娠流产的等待时间,特别是需要手术的妇女,应尽量减少,不要在产前或产房度过。

我被安排在产房等候[取出婴儿遗体的手术]。我能听到妇女分娩的声音。

4.良好的信息和有效的治疗

所有经历流产的妇女都应该得到明确和诚实的信息,以同情的方式传达。应向妇女提供关于所有可用的管理办法的信息——预期的、内科的和外科的——并应能够在临床考虑允许的情况下选择最适合她们情况的管理办法。在家流产的妇女应提供适当的镇痛处方。在医院发生流产的情况下,医生应与父母讨论他们希望胎儿发生什么(即不应在未经事先咨询的情况下常规处理)。

我一直以为在家里流产是一个容易的选择。我没有得到任何信息。我很痛苦。

5.整体护理

当流产发生时,应立即通知社区助产士团队和全科医生,并取消随后的预约和扫描,以避免流产妇女被HCPs追着“错过”怀孕预约。

医院说他们会让健康探访者联系我那是两个月前的事了。没人联系过。
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