Pathways to strengthening midwifery in Europe
Pathways to strengthening midwifery in Europe
复制标题
加强欧洲助产服务的途径
DOI：
10.21256/zhaw-4280
复制
发表时间：
2015
影响因子：
--
通讯作者：
A. Symon
中科院分区：
文献类型：
--
作者：
M. Renfrew;E. Burns;M. Gross;A. Symon
在欧洲重新审查助产是及时的。最近的证据表明，助产是关键的生存，健康和福祉的妇女，婴儿和家庭在所有国家和设置（1，2）。改善的结果包括降低孕产妇和新生儿发病率和死亡率、死产、低出生体重、减少不良临床结果和减少不适当的临床干预。助产士的其他好处包括增加母乳喂养、改善心理社会结果以及更有效地利用医疗服务。普遍提供助产服务为减少健康不平等提供了空间。最近发布了一个以证据为基础的高质量孕产妇和新生儿护理框架，以指导卫生系统和教育规划和提供（1）。考虑到欧洲生育人口的变化，审查加强助产的方法，从而改善妇女和婴儿的结果特别重要。这些因素包括日益严重的贫困和社会不平等、移徙增加、更多的高龄母亲和更多的妇女使用人工生殖技术，所有这些都导致疾病更加复杂。高质量的助产护理对这一具有挑战性的情况有很大贡献。
Introduction A re-examination of midwifery in Europe is timely. Recent evidence demonstrates that midwifery is key to the survival, health and well-being of women, infants and families in all countries and settings (1, 2). Improved outcomes include reduced maternal and neonatal morbidity and mortality, stillbirth, low birth weight, fewer adverse clinical outcomes and fewer inappropriate clinical interventions. Other benefits of midwifery include increased breastfeeding, improved psycho-social outcomes and more efficient use of health services. Having universally available midwifery services offers scope to reduce health inequalities. An evidence-based framework for quality maternal and newborn care has recently been published to guide health system and education planning and provision (1). Examining ways to strengthen midwifery and thereby improve outcomes for women and infants is of particular relevance in the light of changes in the childbearing population in Europe. These include growing poverty and social inequalities, increased migration, more older mothers and more women using artificial reproductive technologies, all of which result in more complex disease profiles. High-quality midwifery care has much to contribute to this challenging picture.