Weil O, Fernandez H
Centre de Recherche et d'Etudes pour le Développement de la Santé, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1999 Jun;28(3):205-10.
Ten years after the Safe Motherhood Initiative has been set up, maternal morbidity and mortality remain a major public health issue in most developing countries. This presentation reviews the background of the initiative and the strategies adopted in Nairobi. Then, it undertakes an analysis of recent developments in maternal health policies. The authors discuss the comparative impact on maternal mortality of efforts aimed at a global improvement of the socio-economic and educative status of women, family planning activities, traditional birth attendants training programmes, and antenatal care. They stress the importance of the effective accessibility to life saving obstetric. Finally, they advocate a major involvement by gynecologist-obstetricians in the development and in the implementation of safe motherhood programmes.
安全孕产倡议设立十年后，孕产妇发病率和死亡率在大多数发展中国家仍是一个重大的公共卫生问题。本报告回顾了该倡议的背景以及在内罗毕采取的策略。然后，对孕产妇健康政策的最新发展进行了分析。作者们讨论了旨在全球改善妇女社会经济和教育地位、计划生育活动、传统助产士培训项目以及产前护理等努力对孕产妇死亡率的比较影响。他们强调了有效获得救生产科服务的重要性。最后，他们主张妇产科医生大力参与安全孕产项目的制定和实施。
