尼日利亚西南部孕产妇死亡率的决定因素:助产士的看法
David B Olawade1, Ojima Z Wada2, Iyanuoluwa O Ojo3
1Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, United Kingdom.
Midwifery
|October 16, 2023
概括
尼日利亚的助产士认为产后出血,高血压疾病和传统中心的管理不善是导致产妇死亡的关键因素. 解决这些问题需要改善医疗保健准入和宣传活动,以克服文化障碍.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 社会学 社会学 社会学
背景情况:
- 孕产妇死亡率是尼日利亚的一个关键公共卫生问题.
- 应对这一挑战需要了解利益相关者的观点,包括助产士.
- 助产士对孕产妇死亡率的决定因素提供了独特的见解.
研究的目的:
- 调查尼日利亚西南部孕产妇死亡率的因素.
- 收集和分析助产士对产妇死亡率决定因素的看法.
- 为减少孕产妇死亡率提供有针对性的干预信息.
主要方法:
- 一个采用混合方法的横截面研究.
- 通过问卷从215名助产士收集的定量数据.
- 通过深入采访,从25名助产士收集了定性数据.
主要成果:
- 助产士认为产后出血 (86.5%),高血压障碍 (80.9%) 和传教院/传统分娩中心的管理不善 (79.1%) 是主要原因.
- 需要改进的关键领域包括提高对危险迹象的认识 (97%),消除剖腹产的耻辱 (96%),规范传统助产士 (92%) 和提高医院的可访问性 (84%).
- 年轻的助产士将不安全的堕胎和家庭暴力等因素更多地与孕产妇死亡率联系在一起.
结论:
- 可持续降低孕产妇死亡率需要改善基本医疗保健和健康促进.
- 干预措施必须解决孕产妇死亡的传统原因和新出现的原因.
- 克服无助的社会文化规范对于改善孕产妇健康结果至关重要.
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