The availability of life-saving obstetric services in developing countries: An in-depth look at the signal functions for emergency obstetric care
The availability of life-saving obstetric services in developing countries: An in-depth look at the signal functions for emergency obstetric care
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DOI：
10.1016/j.ijgo.2006.01.028
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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：
Bailey, P;Paxton, A;Fry, D
目的：本文探讨了为治疗主要产科并发症而执行一系列救生干预措施或信号功能的频率。方法和结果：基本信号功能包括肠外抗生素、抗惊厥药和催产药，以及人工去除胎盘、清除子宫积物和辅助阴道分娩的程序。综合功能包括六大基本功能、剖腹产、输血等。来自 13 个国家 1906 个卫生机构的数据表明，最有可能报告的功能是催产药和抗生素。最不可能被报道的基本功能是辅助阴道。送货。许多接受调查的机构没有进行手术或提供输血的基础设施。结论：这些数据可以帮助政府适当分配预算，帮助决策者和规划者识别系统瓶颈并确定解决方案的优先顺序。监测职能的表现可以让我们了解卫生系统在发生产科紧急情况时提供关键干预措施的能力。 (c) 2006 年国际妇产科联合会。由爱思唯尔爱尔兰有限公司出版。保留所有权利。
Objective: This paper examines the frequency with which a set of life-saving interventions or signal functions was performed to treat major obstetric complications. Methods and results: The basic signal functions include parenteral antibiotics, anticonvulsants and oxytocics, and the procedures of manual removal of the placenta, removal of retained uterine products, and assisted vaginal delivery. Comprehensive functions include the six basic functions, cesarean delivery, and blood transfusions. Data from 1906 health facilities in 13 countries indicate that the most likely functions to be reported are oxytocics and antibiotics. The basic function least likely to be reported is assisted vaginal. delivery. Many of the facilities surveyed did not have the infrastructure to perform operations or provide blood transfusions. Conclusions: These data can help governments allocate their budgets appropriately, help policy makers and planners identify systemic bottlenecks and prioritize solutions. Monitoring the performance of the functions informs us of the capacity of the health system to provide key interventions when obstetric emergencies occur. (c) 2006 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.