Women's recall of obstetric complications in South Kalimantan, Indonesia
Women's recall of obstetric complications in South Kalimantan, Indonesia
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DOI：
10.2307/2137888
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发表时间：
1997-09-01
影响因子：
2.1
通讯作者：
Zazri, A
中科院分区：
文献类型：
--
作者：
Ronsmans, C;Achadi, E;Zazri, A
为监测实现安全孕产的进展情况而寻找指标的工作促使人们研究以人口为基础的产科发病率计量方法。一种可能的措施是根据妇女报告的以往分娩经历。在印度尼西亚南加里曼丹省的三家医院进行的这项前瞻性研究中，对妇女报告的严重分娩相关并发症的准确性进行了检查。这项研究的结果表明，妇女报告分娩经历的方式与医生诊断产科问题的方式之间存在着不一致的情况，尽管一致的程度因并发症的类型而异。依赖妇女分娩经验的专家会倾向于高估医学诊断的产科问题的患病率，如与阴道出血过多或分娩功能障碍有关的问题。提示子痫的问题可能更有希望，尽管本研究中子痫妇女的数量较少，无法得出明确的结论。
The search for indicators for monitoring progress toward safe motherhood has prompted research into population-based measures of obstetric morbidity. One possible such measure is based on women's reports of their past childbirth experiences. In this prospective study in three hospitals in South Kalimantan, Indonesia, the accuracy of women's reporting of severe birth-related complications was examined. The findings of this study suggest that poor agreement exists between the way women report their experience of childbirth and the way doctors diagnose obstetric problems, although the degree of agreement varies with the type of complication. Questionnaires relying on women's experience of childbirth will fend to overestimate the prevalence of medically diagnosed obstetric problems such as those associated with excessive vaginal bleeding or dysfunctional labor. Questions suggestive of eclampsia may be more promising, although the small number of eclamptic women in this study precludes firm conclusions.