人道主义环境中的助产士领导的分娩中心:来自孟加拉国罗兴亚难民营的经验
Abdul Halim1, Abu Sayeed Md Abdullah1, Fazlur Rahman1
1Centre for Injury Prevention and Research Bangladesh (CIPRB), Dhaka, Bangladesh.
PLOS global public health
|December 10, 2024
概括
孟加拉国助产士领导的分娩中心 (MLBC) 为罗兴亚难民提供基本的性和生殖健康服务. 尽管存在沟通障碍等挑战,但这些中心提供尊重,高质量的护理,在人道主义环境中改善孕产妇和新生儿的结果.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 助产士的护理 助产士的护理
背景情况:
- 助产士领导的分娩中心 (MLBC) 对于向流离失所人口提供助产护理和性/生殖健康服务至关重要.
- 孟加拉国考克斯巴扎尔的罗兴亚难民危机凸显了需要获得的孕产妇医疗保健的需要.
研究的目的:
- 探索罗兴亚难民营内的妇女,助产士和有关MLBC的利益相关者的观点.
- 在人道主义背景下评估助产士主导护理的有效性和挑战.
主要方法:
- 在罗兴亚难民营的MLBC中进行了一项混合方法案例研究.
- 数据收集包括医疗记录,关键信息人采访,与助产士的焦点小组讨论,以及与罗兴亚妇女的深入采访.
主要成果:
- 在2022年,在MLBC发生了267次分娩,70次并发症需要转诊.
- 妇女重视尊重,高质量的护理和服务,包括产前,产后,计划生育和GBV支持.
- 挑战包括语言障碍,运输困难,安全问题和电话覆盖率差等.
结论:
- 在人道主义环境中,MLBC可以成功地提供全面的助产和性/生殖健康服务.
- 建议包括加强支持,改进转诊系统,并为助产士提供持续培训,以优化母亲和新生儿的结果.
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