控制坦桑尼亚家庭分娩后的产后出血。
Controlling postpartum hemorrhage after home births in Tanzania.
作者信息
Prata N, Mbaruku G, Campbell M, Potts M, Vahidnia F
机构信息
Bixby Population Program, School of Public Health, University of California, Berkeley, 1213 Tolman Hall, Berkeley, CA 94720-1690, USA.
出版信息
Int J Gynaecol Obstet. 2005 Jul;90(1):51-5. doi: 10.1016/j.ijgo.2005.03.007.
OBJECTIVES
Determine safety of household management of postpartum hemorrhage (PPH) with 1000 microg of rectal misoprostol, and assess possible reduction in referrals and the need for additional interventions.
METHODS
Traditional birth attendants (TBAs) in Kigoma, Tanzania were trained to recognize PPH (500 ml of blood loss). Blood loss measurement was standardized by using a local garment, the "kanga". TBAs in the intervention area gave 1000 microg of misoprostol rectally when PPH occurred. Those in the non-intervention area referred the women to the nearest facility.
RESULTS
454 women in the intervention and 395 in the non-intervention areas were eligible. 111 in the intervention area and 73 in the non-intervention had PPH. Fewer than 2% of the PPH women in the intervention area were referred, compared with 19% in the non-intervention.
CONCLUSION
Misoprostol is a low cost, easy to use technology that can control PPH even without a medically trained attendant.
目的
确定使用1000微克直肠用米索前列醇进行产后出血（PPH）家庭管理的安全性，并评估转诊可能的减少情况以及额外干预措施的必要性。
方法
对坦桑尼亚基戈马的传统助产士（TBAs）进行培训，使其能够识别产后出血（失血500毫升）。通过使用当地的一种服装“康加”来标准化失血量测量。干预区域的传统助产士在发生产后出血时直肠给予1000微克米索前列醇。非干预区域的传统助产士则将妇女转诊至最近的医疗机构。
结果
干预区域有454名妇女符合条件，非干预区域有395名妇女符合条件。干预区域有111名妇女发生产后出血，非干预区域有73名妇女发生产后出血。干预区域产后出血妇女中被转诊的不到2%，而非干预区域为19%。
结论
米索前列醇是一种低成本、易于使用的技术，即使没有经过医学培训的护理人员也能控制产后出血。
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