Neonatal care in the home in northern rural Honduras: a qualitative study of the role of traditional birth attendants.
Neonatal care in the home in northern rural Honduras: a qualitative study of the role of traditional birth attendants.
复制标题
洪都拉斯北部农村家庭中的新生儿护理：对传统助产士作用的定性研究。
DOI：
10.1097/jpn.0b013e31827fb3fd
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Low,LisaKane
中科院分区：
文献类型：
--
作者：
Sacks,Emma;Bailey,JoanneMotiño;Robles,Chayla;Low,LisaKane
传统助产士在降低孕产妇死亡率方面能力有限，但可能对新生儿存活率产生重大影响。本定性研究探讨了传统助产士（占有）的经验，新生儿护理在农村社区。在6个半结构化的焦点小组中，传统助产士描述了他们经常为新生儿提供的服务。使用Atlas。ti，版本6.0。（ATLAS。ti Scientific Software Development GmbH，University of柏林），由双语研究人员对成绩单进行编码，并按主题内容进行分析。传统助产士对新生儿生理学的了解有限，但了解许多国际上推荐的做法。尽管努力遵循建议，但由于资源限制，所有传统助产士都表示有困难。传统助产士是立即母乳喂养和皮肤护理的强烈倡导者，但他们没有表现出延迟洗澡和热护理的知识。大多数传统助产士说，新生儿一出生就可以立即发现生病的婴儿，因此，可能会错过后来感染或其他疾病的机会。传统助产士不相信他们能够避免在他们的护理下发生的新生儿并发症或死亡。对于大多数健康的新生儿来说，在医疗保健诊所进行2个月的疫苗接种之前，传统助产士是主要的提供者。改进的TBA培训侧重于新生儿的感染病原学、生理学和体温调节，可能会增加改善健康和及时转诊到医疗机构的机会。
Traditional birth attendants (TBAs) have limited ability to reduce maternal mortality, but may be able to have a significant impact on neonatal survival. This qualitative study explores TBAs'(possessive) experience with neonatal care in a rural Honduran community. In 6 semistructured focus groups, TBAs described services they routinely provide to newborns. Using Atlas. ti, Version 6.0.(ATLAS. ti Scientific Software Development GmbH, University of Berlin), transcripts were coded by bilingual researchers and analyzed by thematic content. TBAs demonstrated limited knowledge of newborn physiology, yet were aware of many internationally recommended practices. Despite attempts to follow recommendations, all TBAs expressed difficulty due to resource constraints. TBAs were strong advocates of immediate breast-feeding and skin-to-skin care, but they did not demonstrate knowledge regarding delayed bathing and thermal care. Most TBAs stated that a sick neonate could be identified immediately at birth; thus, infections or other illnesses developed in later days may be missed. TBAs did not believe they could have averted neonatal complications or deaths that had occurred under their care. For most healthy newborns, TBAs are the primary providers until the 2-month vaccine visit at the healthcare clinic. Improved TBA training focused on infection symptomotology, physiology, and thermoregulation for newborns may increase opportunities for improved health and timely referrals to healthcare facilities.