Research Paper
Name
Institution
Research Paper
医学研究论文代写 How Can Implement a Massive Transfusion Protocol in a Level Three Labor and Delivery Improve Maternal Outcome with Six Months?
Research Question
How Can Implement a Massive Transfusion Protocol in a Level Three Labor and Delivery Improve Maternal Outcome with Six Months?
Introduction 医学研究论文代写
Postpartum heomorrhage is one of the leading cause of maternal mortality. Studies have shown that women gestating for beyond 20 weeks have a higher risk of PPH (Green et al. 2016; Pacheco, Saade, Costantine, Clark, & Hankins, 2016; Yazer et al. 2018). Although much awareness has been created resulting in a significant reduction in the level of PPH deaths, there is still more to be done mainly by implementing massive transfusion protocol in level three labor and delivery units.
In this regard, there is a need for research to show how the implementation of MTP in level three maternity can help in reducing PPH cases. In so doing, this paper will identify the problem and rationale for the implementation of MTP in level three delivery units. It will also evaluate the research question through summaries and critiques of three articles and by presenting their findings in conclusion.
The problem of the Study 医学研究论文代写
The research question identifies the problem of increased cases of PPH in level three labor and delivery units. The research justifies the need for MTP in lower hospitals to help reduce PPH cases. The approach for improving the condition is to implement MTP in L3 maternities and evaluate the outcome after six months.
Summary of the Three Articles
Article 1
The article looks into the outcome of the massive transfusion in obstetrics. The research was conducted by taking a cross-sectional study of the postpartum haemorrhage cases as reported to the UK Obstetric Surveillance System (UKOSS) (Green et al. 2016). The research targeted women with less than 20 weeks of gestation and was receiving less than eight units of transfusion after giving birth. The study found 181 cases of women who underwent massive transfusion.
The common cause of MT was uterine atony, and the majority of these gave birth through caesarian section. Out of the 181 cases, 2 of them died. The majority were admitted to the intensive care unit with few major developing morbidities. The research also found that massive transfusion is associated with high morbidity and hysterectomy. Therefore, appropriate action should be taken to reduce cases of PPH cases.
The article has identified the problem for the study and the methodology used to collect the data, analyze it and present the findings. The conclusion reflects the research findings and discussion.
Article 2 医学研究论文代写
The article updates one the new methods for treatment of PPH through the activation of protein C and fibrinolytic pathways. In essence, the research looked into the various new methods which have been introduced as part of the massive transfusion protocol for treatment and management of PPH and to identify the most optimal PPH treatment procedure (Pacheco, Saade, Costantine, Clark, & Hankins, 2016). Therefore, the article forms a reference point for the various methods to be used in the management and treatment of massive transfusion in obstetrics.
Article 3
The article focuses on the management of obstetric products in the bid to reducing wastage and delays at the time of emergencies. The research focuses on the need to have organized obstetric inventories for better tracking and smooth operations in the obstetric unit (Yazer et al. 2018). The research has a clear methodology describing how the sample was selected, data was collected, and results analyzed. The conclusion reflects the research findings and discussion.
Conclusion 医学研究论文代写
The three articles converge at the need to have elaborate control and management of PPH. They agree that PPH is a significant cause of maternal deaths and appropriate measures need to be taken to avert the trend of massive transfusion cases in obstetrics. Therefore, there is need to have a Massive Transfusion Protocol in level three labor and delivery units to reduce the incidents of maternal morbidity and death.
References 医学研究论文代写
Green, L., Knight, M., Seeney, F., Hopkinson, C., Collins, P., Collis, R., . . . Stanworth, S. (2016). The epidemiology and outcomes of women with postpartum haemorrhage requiring massive transfusion with eight or more units of red cells: A national cross‐sectional study. BJOG: An International Journal of Obstetrics & Gynaecology, 123(13), 2164-2170. DOI:10.1111/1471-0528.13831
Pacheco, L. D., MD, Saade, G. R., MD, Costantine, M. M., MD, Clark, S. L., MD, & Hankins, G. D. V., MD. (2015;2016;). An update on the use of massive transfusion protocols in obstetrics. American Journal of Obstetrics and Gynecology, 214(3), 340-344. DOI:10.1016/j.ajog.2015.08.068
Yazer, M. H., Dunbar, N. M., Cohn, C., Dillon, J., Eldib, H., Jackson, B., . . . Biomedical Excellence for Safer Transfusion (BEST) Collaborative. (2018). Blood product transfusion and wastage rates in obstetric hemorrhage. Transfusion, 58(6), 1408-1413. DOI:10.1111/trf.14571
研究论文
名称
机构
研究论文
医学研究论文代写如何在三级分娩和分娩中实施大规模输血方案，以六个月提高产妇结果？
研究问题
如何在三级分娩和分娩中实施大规模输血方案，以六个月提高产妇结果？
介绍
产后出血是孕产妇死亡的主要原因之一。研究表明，怀孕超过20周的妇女有较高的PPH风险（Green等人，2016年; Pacheco，Saade，Costinetine，Clark和Hankins，2016年; Yazer等人，2018年）。尽管已经引起了广泛的关注，导致PPH死亡水平大大降低，但仍然需要做更多的工作，主要是在三级劳动和分娩部门实施大规模的输血方案。
在这方面，有必要进行研究，以显示在三级产妇中实施MTP可以如何帮助减少PPH病例。这样，本文将确定在三级交付部门实施MTP的问题和理由。它还将通过对三篇文章的总结和评论并在结论中提出他们的发现来评估研究问题。
研究的问题
该研究问题确定了三级人工和分娩单位中PPH病例增加的问题。该研究证明较低医院需要MTP有助于减少PPH病例。改善病情的方法是在L3期实施MTP并在六个月后评估结果。
三篇文章摘要 医学研究论文代写
第1条
这篇文章探讨了产科大量输血的结果。该研究通过对英国产科监视系统（UKOSS）报告的产后出血病例进行横断面研究来进行（Green等人2016）。该研究的对象是妊娠少于20周的妇女，分娩后接受的输血少于8个单位。该研究发现了181例进行大量输血的妇女。
MT的常见病因是子宫无力，其中大多数是通过剖腹产而分娩的。在181例病例中，有2例死亡。大多数人被送进重症监护病房，很少有重大发病。研究还发现，大量输血与高发病率和子宫切除术有关。因此，应采取适当的措施减少PPH病例。
本文已经确定了研究的问题以及用于收集数据，分析数据和提出发现的方法。结论反映了研究结果和讨论。
第二条
本文更新了一种通过激活蛋白C和纤溶途径来治疗PPH的新方法。从本质上讲，该研究调查了各种新方法，这些新方法已作为大规模输血协议的一部分用于治疗和管理PPH，并确定了最佳的PPH治疗程序（Pacheco，Saade，Costinetine，Clark和＆Hankins，2016年） ）。因此，本文为在产科大规模输血的管理和治疗中使用的各种方法提供了参考。
第三条
本文着重于产科产品的管理，以减少紧急情况下的浪费和延误。该研究的重点是需要组织产科清单以更好地跟踪和在产科部门顺利开展手术（Yazer等人2018）。这项研究采用了清晰的方法论，描述了如何选择样品，收集数据以及分析结果。结论反映了研究结果和讨论。
结论
这三篇文章融合了对PPH进行详细控制和管理的需要。他们一致认为，PPH是孕产妇死亡的重要原因，需要采取适当措施来避免产科大量输血的趋势。因此，需要在三级分娩和分娩部门制定大规模输血协议，以减少产妇发病和死亡的事件。
References 医学研究论文代写
Green, L., Knight, M., Seeney, F., Hopkinson, C., Collins, P., Collis, R., . . . Stanworth, S. (2016). The epidemiology and outcomes of women with postpartum haemorrhage requiring massive transfusion with eight or more units of red cells: A national cross‐sectional study. BJOG: An International Journal of Obstetrics & Gynaecology, 123(13), 2164-2170. DOI:10.1111/1471-0528.13831
Pacheco, L. D., MD, Saade, G. R., MD, Costantine, M. M., MD, Clark, S. L., MD, & Hankins, G. D. V., MD. (2015;2016;). An update on the use of massive transfusion protocols in obstetrics. American Journal of Obstetrics and Gynecology, 214(3), 340-344. DOI:10.1016/j.ajog.2015.08.068
Yazer, M. H., Dunbar, N. M., Cohn, C., Dillon, J., Eldib, H., Jackson, B., . . . Biomedical Excellence for Safer Transfusion (BEST) Collaborative. (2018). Blood product transfusion and wastage rates in obstetric hemorrhage. Transfusion, 58(6), 1408-1413. DOI:10.1111/trf.14571
