Global patterns in availability of emergency obstetric care
Global patterns in availability of emergency obstetric care
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DOI：
10.1016/j.ijgo.2006.01.030
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发表时间：
2006-06-01
影响因子：
3.8
通讯作者：
Fry, D.
中科院分区：
文献类型：
--
作者：
Paxton, A.;Bailey, P.;Fry, D.
目的：本文探讨了基本和全面的产科急诊（EmOC），用于治疗直接产科并发症的干预措施的可用性。在分析一个国家处理产科急诊的能力时，首要任务是确定卫生设施提供哪些干预措施。有八项关键干预措施，六项是基本EmOC，所有八项是综合EmOC。方法与结果：根据24项需求评估的数据，出现了以下全球模式：综合性产科急诊设施通常能够满足人口规模所建议的最低数量，但基本产科急诊设施的数量始终不足，无论是在孕产妇死亡率高的国家还是在孕产妇死亡率中等的国家，大多数提供产妇服务的设施只提供一些干预措施，这表明潜力尚未实现。结论：将产科、保健中心和医院至少提升到基本的产科急诊和产科护理水平，将是在资源贫乏的国家降低孕产妇死亡率的一个重要步骤。(c)2006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: This paper examines the availability of basic and comprehensive emergency obstetric care (EmOC), interventions used to treat direct obstetric complications. Determining what interventions are provided in health facilities is the first priority in analyzing a country's capabilities to treat obstetric emergencies. There are eight key interventions, six constitute basic EmOC and all eight comprehensive EmOC. Methods and results: Based on data from 24 needs assessments, the following global patterns emerge: comprehensive EmOC facilities are usually available to meet the recommended minimum number for the size of the population, basic EmOC facilities are consistently not available in sufficient numbers, both in countries with high and moderate levels of maternal mortality, and the majority of facilities offering maternity services provide only some interventions indicating an unrealized potential. Conclusion: Upgrading maternities, health centers and hospitals to at least basic EmOC status would be a major contributing step towards maternal mortality reduction in resource-poor countries. (c) 2006 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.