Altigani M
Institute of Child Health, University of London.
J Trop Pediatr. 1992 Feb;38(1):43-8. doi: 10.1093/tropej/38.1.43.
A study was conducted to assess the obstetric care coverage provided by the Sudanese village midwives. Mothers and village midwives, from four villages were interviewed using structured questionnaires. A total of 130 mothers who had delivered within 6 months were included in the study. Seventy per cent of these mothers contacted the village midwives at least once during their pregnancy. The average attendance was 3.8 antenatal contacts per mother. Seventy-one per cent of those who contacted the village midwives did so during the first half of pregnancy. Half of these mothers were seen in the village midwife's own home and only 20 per cent were in the mothers' homes. The village midwife attended 76 per cent of the deliveries, 11 per cent were attended by the traditional birth attendants, and the remainder delivered in hospital. The village midwives demonstrated reasonable standard of knowledge and competence in various aspects of antenatal care, history taking, examination, and selection of cases for referral. They lack adequate support and supervision, and supplies of drugs such as iron, folic acid, and chloroquine tablets.
开展了一项研究，以评估苏丹乡村助产士提供的产科护理覆盖情况。采用结构化问卷对来自四个村庄的母亲和乡村助产士进行了访谈。共有130名在6个月内分娩的母亲被纳入该研究。这些母亲中有70%在孕期至少与乡村助产士联系过一次。每位母亲的平均产检次数为3.8次。与乡村助产士联系的人中有71%是在孕期前半段联系的。这些母亲中有一半是在乡村助产士自己家中接受检查的，只有20%是在母亲家中。乡村助产士接生了76%的分娩案例，11%由传统助产士接生，其余的在医院分娩。乡村助产士在产前护理、病史采集、检查以及转诊病例选择等各个方面表现出了合理的知识水平和能力。他们缺乏足够的支持和监督，也缺乏铁剂、叶酸和氯喹片等药品供应。
