Prenatal care and basic emergency obstetric care services provided at primary healthcare facilities in rural Nigeria
Prenatal care and basic emergency obstetric care services provided at primary healthcare facilities in rural Nigeria
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DOI：
10.1016/j.ijgo.2011.11.014
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发表时间：
2012-04-01
影响因子：
3.8
通讯作者：
West, Charles
中科院分区：
文献类型：
--
作者：
Okoli, Ugo;Abdullahi, Mohammed J.;West, Charles
目的：评估尼日利亚农村地区初级保健机构提供产前护理和基本产科急诊服务的情况。研究方法：总共有652个初级保健设施参加了助产士服务计划，这是一个政府资助的计划，旨在减少全国熟练助产士的短缺。结果如下：总体而言，44.0%的初级保健设施没有提供产前护理的所有组成部分，全国只有39.0%的孕妇到产前护理诊所就诊4次或4次以上。此外，52.2%的设施没有向孕妇分发驱虫蚊帐，只有36.8%的初级保健设施提供预防母婴传播艾滋病毒的服务。相比之下，70.0%的初级保健设施可以获得抗生素治疗单纯性脓毒症。只有11.0%的诊所报告在分娩期间使用真空抽吸，36.8%提供堕胎后护理服务。在转诊前，分别有40.0%和28.0%的PHC机构开始治疗先兆子痫和子痫。结论：本研究提供了有用的信息，在农村尼日利亚的产前和基本产科急诊的状态。所获得的数据表明，要实现相关的千年发展目标，就需要进行变革。(C)2012年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To assess the availability of prenatal care and basic emergency obstetric care services at primary healthcare (PHC) facilities in rural Nigeria. Methods: In total, 652 PHC facilities enrolled in the Midwives Service Scheme, a government-funded program designed to reduce the national shortage of skilled birth attendants, were surveyed. Results: In all, 44.0% of the PHC facilities evaluated did not provide all components of prenatal care, and only 39.0% of all pregnant women nationwide attended prenatal care clinics 4 or more times. In addition, 52.2% of the facilities were not distributing insecticide-treated nets to pregnant women, while only 36.8% of the PHC facilities provided services to prevent mother-to-child transmission of HIV. By contrast, 70.0% of the PHC facilities had access to antibiotics for the treatment of uncomplicated sepsis. Only 11.0% of clinics reported the use of vacuum extraction during labor and 36.8% provided post-abortion care services. Treatment for pre-eclampsia and eclampsia was initiated at 40.0% and 28.0% of PHC facilities, respectively, prior to referral. Conclusion: The present study provides useful information on the state of prenatal and basic emergency obstetric care in rural Nigeria. The data obtained indicate that changes are needed to achieve related Millennium Development Goals. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.