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Trends in Cesarean Delivery Rates in China, 2008-2018 [J]. JAMA. 2020;323(1):89-91.[4] 稱 ^#W, 鏃決l, R迯癳, I{. nfY褃鬡Kb/gg紆踰YtN禰qQ茓[J].-NNSnfY褃Bg譥, 2015, 30(2): 166-173.[5] Lim G, Facco FL, Nathan N, et al. A review of the impact of obstetric anesthesia on maternal and neonatal outcomes [J]. Anesthesiology. 2018;129:192-215.[6] Nitsun M, Szokol JW, Saleh HJ, et al. Pharmacokinetics of midazolam, propofol, and fentanyl transfer to human breast milk [J]. Clin Pharmacol Ther. 2006 ;79(6):549-557. [7] Bamigboye AA, Hofmeyr GJ. Local anaesthetic wound infiltration and abdominal nerves block during caesarean section for postoperative pain relief [J]. Cochrane Database Syst Rev 2009;3:CD006954.[8] Aluri S, Wrench IJ. Enhanced recovery from obstetric surgery: a UK survey of practice [J] . Int J Obstet Anesth 2014;23:157-160.[9] Tan M, Siu-Chun Law L, Joo Gan T. Optimizing pain management to facilitate enhanced recovery after surgery pathways[J]. J Can Anesth 2015;62:203-218.[10] Perak AM, Lancki N, Kuang A, et al. Associations of Maternal Cardiovascular Health in Pregnancy With Offspring Cardiovascular Health in Early Adolescence[J]. JAMA. 2021; 325(7):658-668.[11] -NNS;Sf[O嘫褃f[RO褃f[膥,-NNS;Sf[O鬡;Sf[RO,-N齎嘫|^軴ePOSO奩 ZTv^謡?\舥NN訷XTO. 奩 Zg貧@堉|蕥籰cWS2022 ;,{孨钀R=[J]. -NNS嘫褃Bg譥,2022,57(2):81-90.[12] ^Nwo僨[O. 鬡Kb/gg@堉|t;S-oN禰qQ茓[J]. 蔔錯o僨[, 2018, 28(2): 73-83.[13] American Diabetes Association. Management of diabetes in pregnancy: standards of medical care in diabetes-2021[J]. Diabetes Care. 2021,44(Suppl 1):S200-200S210.[14]媠薔噀,%N(?剺2朧R玔€Kb/g钀MOa觛剉xvz蹚U\[J].-N齎a觛6RBg譥, 2019,18(04): 363-368.[15] Douville SE, Callaway LK, Amoako A, Roberts JA, Eley VA. Reducing post-caesarean delivery surgical site infections: a narrative review[J].Int J Obstet Anesth. 2020;42:76-86.[16] 齎禰kSu孴Ru瞼訷XTO 齎禰-N;So儭{t@\ 銐>e決;`T銻钀kSu钀. 梑虄o僫r4N奮擽(uc黐烻R(2015Hr)[M]S琋 2015.[17] Kawakita T, Landy HJ. Surgical site infections after cesarean delivery: epidemiology, prevention and treatment [J].Matern Health Neonatol Perinatol. 2017;3:12. [18] Mackeen AD, Packard RE, Ota E, et al. Antibiotic regimens for postpartum endometritis[J]. Cochrane Database Syst Rev 2015:CD001067.[19] Livingston JC, Llata E, Rinehart E, et al. Gentamicin and clindamycin therapy in postpartum endometritis: the efficacy of daily dosing versus dosing every 8 hours[J]. Am J Obstet Gynecol. 2003;188(1):149.[20] Gustafsson UO, Hausel J, Thorell A, et al. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery[J].Arch Surg. 2011;146(5):571-577.[21]剠wm#k,[剦Z,R?I{.燫惙^Y嘫褃鬡Kb/ggt-N齎N禰qQ茓[J].-NNS皊鉔tBg譥,2019(06): 661-668.[22]Macones GA, Caughey AB, Wood SL, et al. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [J]. Am J Obstet Gynecol. 2019;221(3):247.e1-247.e9.[23] Liu ZQ, Du WJ, Yao SL. Enhanced recovery after cesarean delivery: a challenge for anesthesiologists[J].Chin Med J (Engl). 2020;133(5):590-596. [24] Yang J, Jiang Y, Chen Y, et al. Acupressure the PC6 point for alleviating postoperative nausea and vomiting: A systematic review protocol[J].Medicine (Baltimore). 2019;98(33):e16857.[25] Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting[J]. Br J Anaesth. 2012;109(5):742-753.[26]l歝ko?臑嘯IQ,~\?I{.b篘錯魰Kb/g燫惙^YY褃粸墤tN禰qQ茓[J].OS孴;Sf[Bg譥,2019,10(06):562-569.[27] _PN,媅4晞o,3uPN.燫惙^YY褃t鮛╟≧ N剉Y!j_/gTv`胈UTTtV{eu 0,{踁Hr/gTv`胈UTTtcWS 0銐麐[J].OS孴;Sf[Bg譥,2021,12(04):490-495.[28]/gTv`胈UTT2柣lN禰qQ茓.2014Hr-N齎粸墤f[cWSNN禰qQ茓(-NNS;Sf[O粸墤f[RO)[M].S琋: 篘lkSu鶴Hr>y,2014:305-310.[29]-NNS;Sf[O嘫褃f[RO. 嘫褃Kb/g燫惙^Y剉-N齎N禰qQ茓[J].-NNS嘫褃Bg譥, 2019, 54(2):73-79.[30] Tan HS, Habib AS. The optimum management of nausea and vomiting during and after cesarean delivery[J]. Best Pract Res Clin Anaesthesiol. 2020;34(4):735-747.[31] -NNS;Sf[O嘫褃f[RO褃f[膥. 奩 Zg蔛%gY 丂hh^X莡剺2枌T蕥籰N禰qQ茓[J]. -NNS嘫褃Bg譥,2021,56(4):236-243. [32] Royal College of Obstetricians and Gynaecologists. Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium. Guideline No. 37a.(2015-04-13).[33] Nwm^蚹tZ塠hQN禰訷XTO  Nwm^;Sf[O鬡;Sf[N褃RO  Nwm^;Sf[O嘫褃 N褃RO褃f[膥 I{ Nwm^褃Y 丂hh^X莡2柣l剉N禰qQ茓[J]. Nwm;Sf[, 2020,43(11):645-650. [34] Leffert L, Butwick A, Carvalho B, et al. The Society for Obstetric Anesthesia and Perinatology Consensus statement on the anesthetic management of pregnant and postpartum women receiving thromboprophylaxis or higher dose anticoagulants[J]. Anesth Analg, 2018,126(3):928 944.[35] American College of Obstetricians and Gynecologists2 Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 196: Thromboembolism in pregnancy[J]. Obstet Gynecol, 2018, 132(1):e1 e17.[36] Bates SM, Rajasekhar A, Middeldorp S, et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy[J]. Blood Adv 2018; 2:3317.[37] Bates SM, Greer IA, Middeldorp S, et al. VTE, thrombophilia, antithrombotic therapy, and pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest 2012; 141:e691S.[38] Umesawa M, Kobashi G. Epidemiology of hypertensive disorders in pregnancy: prevalence, risk factors, predictors and prognosis[J]. Hypertens Res, 2017, 40(3): 213C 220.[39] Chun Y, Yan R, Zou LY et al. The 2011 survey on hypertensive disorders of pregnancy (HDP) in China: prevalence, risk factors, complications, pregnancy and perinatal outcomes[J]. PLoS One. 2014, 17;9(6):e100180.[40] Zhao W, Di JL, Huang AQ, et al. Incidence and Risk Factors of Hypertensive Disorders of Pregnancy-8 Provinces, China, 2014-2018[J]. China CDC Wkly. 2021; 3(22): 476-482.[41] -NNS;Sf[O.奩 Zg貧@垕S緐舥@垕StN禰qQ茓(2019)[J].-NNS胈@垺{舥Bg譥, 2020, 48 (3): 195-203.[42] ^Nwo僨[O. 鬡Kb/gg@垕St;S-oN禰qQ茓[J]. 蔔錯o僨[ 2019, 29(5)289-304.[43] -NNS;Sf[O. 奩 Zg貧@垕S緐舥蕥籰cWS2020 [J]. -NNS嘫褃Bg譥, 2020, 55(4):227-238.[44] Sibai BM. Chronic hypertension in pregnancy[J]. Obstet Gynecol, 2002,100(2):369-77.[45] William O Cooper, Sonia Hernandez-Diaz, Patrick G Arbogast,et al. Major congenital malformations after first-trimester exposure to ACE inhibitors[J]. N Engl J Med. 2006, 354(23):2443-51.[46] O蔕峐, _卙,媠鍌&O,I{. 刧鷁Y褃o^剉鍂茓SO鹼  Y褃o僨[(Surgical Pharmacy)[J]. 蔔錯o僨[, 2021,31(1):MR襝2,1-8.[47] Zheng Z, Wu J, Wei L, et al. Surgical pharmacy: the knowledge system of surgical pharmacists [J]. 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