妊産婦死亡率を減らすための戦略:効果のあることを実行する
Oona M R Campbell1, Wendy J Graham,
1Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. Oona.Campbell@lshtm.ac.uk
Lancet (London, England)
|October 10, 2006
まとめ
妊産婦死亡率を低減するには,効果的な産後ケアを優先し,理想的には,リファールアクセスのある初等保健センターで実施する必要があります. 複雑な状況にもかかわらず,戦略的選択は妊産婦死亡率を大幅に減少させることができ,ミレニアム開発目標の迅速な行動を促します.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 母親の健康について
- 公共衛生政策 公共衛生政策
背景:
- 妊産婦死亡率の減少は,さまざまな国の状況と健康の決定因子のために複雑です.
- "安全な母性"のプログラムが20年近く行われてきたのに,説明がつかない決断の遅延が起きている.
研究 の 目的:
- 複雑さにもかかわらず,妊産婦死亡率を減らすために必要な戦略的選択はほとんどないことを示すために.
- 効果的な産後ケア戦略と補完的なアプローチを優先する.
主な方法:
- 妊産婦死亡率の削減のための戦略的選択を伝えるための証拠のレビュー.
- 紹介によるアクセスによるプライマリレベルでの提供に基づく特定の産後介護戦略を優先する.
主要な成果:
- 効果的な産後ケア戦略は,母子の死亡率を下げるための圧倒的な優先事項です.
- 紹介施設にアクセスできる初等レベルの施設 (保健センター) での提供が優先されます.
結論:
- 戦略的選択,特に産前ケアにおける選択は,第5ミレニアム開発目標の達成に不可欠です.
- 実証済みの戦略の緊急の実施が求められ,産婦人死亡率の削減に対する意思決定者のコミットメントに疑問を投げかけている.
関連する概念動画
Life Histories
Constrained by limited energy and resources, organisms must compromise between offspring quantity and parental investment. This trade-off is represented by two primary reproductive strategies; K-strategists produce few offspring but provide substantial parental support, whereas r-strategists produce much progeny that receives little care. These strategies are related to an organism’s survival likelihood across its lifespan, which is represented by a survivorship curve. Three general types of...
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
Birth Control Methods
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Endometriosis, a condition characterized by abnormal growth of endometrial...
Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...


