Skilled attendants for pregnancy, childbirth and postnatal care
Skilled attendants for pregnancy, childbirth and postnatal care
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DOI：
10.1093/bmb/ldg017
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发表时间：
2003-01-01
影响因子：
6.7
通讯作者：
Van Lerberghe, W
中科院分区：
文献类型：
--
作者：
de Bernis, L;Sherratt, DR;Van Lerberghe, W
本文件阐述了确保所有孕妇在怀孕和分娩期间都能获得熟练的保健从业人员的基本原理。它说明了为什么增加获得熟练助产士的机会，特别是在分娩时，不仅是基于合理的需求和临床常识，而且在资源贫乏的国家也是具有成本效益和可行的。熟练的护理人员需要得到卫生系统的支持，该系统提供法律的和政策基础设施、有效的转诊系统以及有效护理所需的用品。熟练的护理人员提供熟练的护理将有助于实现降低孕产妇和儿童死亡率的目标。卫生保健专业人员作为个人从业者，领导者和告密者在实现这一目标方面发挥着重要作用。
This paper sets out the rationale for ensuring that all pregnant women have access to skilled health care practitioners during pregnancy and childbirth. It describes why increasing access to a skilled attendant, especially at birth, is not only based on legitimate demand and clinical common sense, but is also cost-effective and feasible in resource-poor countries. Skilled attendants need to be supported by a health system providing a legal and policy infrastructure, an effective referral system and the supplies that are necessary for effective care. A skilled attendant providing skilled care will help achieve the goals of reducing both maternal and child mortality. Health care professionals as individual practitioners, leaders and informers have an important role in making this a reality.