Meeting health care needs of women experiencing complications of miscarriage and unsafe abortion: USAID's postabortion care program
Meeting health care needs of women experiencing complications of miscarriage and unsafe abortion: USAID's postabortion care program
复制标题
DOI：
10.1016/j.jmwh.2007.03.005
复制
发表时间：
2007-07-01
影响因子：
2.7
通讯作者：
Curtis, Carolyn
中科院分区：
文献类型：
--
作者：
Curtis, Carolyn
每年，估计有 2.1 亿女性怀孕。在全球范围内，超过四分之一的妊娠将以流产或意外分娩告终。虽然许多堕胎可能是出于推迟或避免怀孕的愿望，但 15% 至 20% 的怀孕会以流产或死产告终，其中一些致病因素包括疟疾、艾滋病毒/艾滋病和身体暴力。流产后护理 (PAC) 需要为不完全或自然流产引起的并发症提供治疗，并提供重要的计划生育咨询和服务，以防止未来可能导致重复流产的意外怀孕。 2003年，美国国际开发署（USAID）启动了一项为期5年的战略，向七个国家提供财政资金和技术援助。自 2003 年以来，已有 3000 多名妇女在卫生中心和卫生站接受 PAC 服务；超过 14,000 名社区成员收到了有关不安全堕胎的信息；计划生育以及不安全堕胎和流产的并发症；并审查了 600 多份文件，以将其纳入全球 PAC 资源包中。该软件包已用于制定柬埔寨的国家 PAC 政策，以及在柬埔寨和坦桑尼亚开发患者教育材料和提供者工作援助。这些有前途的方法将在其他国家复制。 (c) 2007 年，美国护士助产士学院。
Each year, an estimated 210 million women become pregnant. Worldwide, more than one fourth of these pregnancies will end in abortion or an unplanned birth. While many abortions may result from the desire to delay or avoid pregnancy, 15% to 20% of pregnancies will end in miscarriage or stillbirth with some causative agents being malaria, HIV/AIDS, and physical violence. Postabortion care (PAC) is needed to provide treatment for complications caused by incomplete or spontaneous abortion and critical family planning counseling and services to prevent future unplanned pregnancies that may result in repeat abortions. In 2003, the United States Agency for International Development (USAID) initiated a 5-year strategy wherein seven countries were provided financial funding and technical assistance. Since 2003, more than 3000 women have been seen in health centers and health posts for PAC services; more than 14,000 community members have received messages on unsafe abortion; family planning, and complications of unsafe abortion and miscarriage; and more than 600 documents were reviewed for inclusion in a global PAC resource package. This package has been used for developing Cambodia's national PAC policy and for developing patient education materials and provider job aids in Cambodia and Tanzania. These promising methodologies will be replicated in other countries. (c) 2007 by the American College of Nurse-Midwives.