Use of maternity waiting home in rural Zambia.
Use of maternity waiting home in rural Zambia.
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DOI：
10.2307/3583343
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发表时间：
2003-04-01
影响因子：
1
通讯作者：
van Roosmalen, Jos
中科院分区：
文献类型：
--
作者：
van Lonkhuijzen, Luc;Stegeman, Margreet;van Roosmalen, Jos
这项研究的目的是评估使用待产之家的结果，待产之家是赞比亚农村地区高危孕妇在怀孕最后几周转诊的一个保健设施。它比较了风险状态和怀孕结果的妇女留在服务员和那些妇女谁在医院分娩后直接入院（非服务员）。47%的非服务员（n = 292）没有产妇风险因素，85%没有产前风险因素，而服务员（n = 218）中的比例为17%和78%。86%的服务员有自发的阴道顶点分娩，而非服务员有95%。虽然风险状况的差异具有统计学意义，但在出生体重、孕产妇和围产期死亡率方面没有发现差异。服务员与非服务员的产科结局相似，但高危妊娠较多，这可能是产妇在家等待的结果。如果依靠适当运作的转诊系统，这种待产之家可以降低围产期死亡率。
This study was conducted to assess the results from the use of a maternity waiting home, a health facility to which women with high risk pregnancies are referred during the last weeks of pregnancy in rural Zambia. It compared the risk status and pregnancy outcome in women staying as waiters with those women who give birth in hospital after direct admission (non-waiters). Forty seven per-cent of the non-waiters (n = 292) had no maternal risk factors and 85% had no antenatal risk factors as compared to 17% and 78% among the waiters (n = 218). Eighty six per cent of waiters had spontaneous vaginal vertex delivery as compared to 95% of non-waiters. Although the differences in risk status were statistically significant, no differences were found in birth weight and maternal and perinatal mortality. The similar obstetric outcome among waiters with more high risk pregnancies and non-waiters could be interpreted as a possible outcome of the maternity waiting home. When dependent on a proper functioning referral system, such waiting homes can reduce perinatal mortality.