Saizonou J, Godin I, Ouendo E M, Zerbo R, Dujardin B
Centre de Recherche en Reproduction Humaine et en Démographie, Cotonou, Bénin.
Trop Med Int Health. 2006 May;11(5):672-80. doi: 10.1111/j.1365-3156.2006.01602.x.
To evaluate emergency obstetric care and the perceptions and expectations of women who experienced 'near miss' events to improve maternal health in Benin.
Qualitative survey in seven hospitals at the three referral levels of the health pyramid from July to October 2003. We used two methods: 557 women with near miss events were interviewed in hospital and a standard questionnaire completed; then semi-structured individual interviews were conducted at home with 42 of these 557 women.
Provided care, accommodation, facilities, costs and modalities of recovery, hygiene of the premises, dynamism, expertise, social support, behaviours and attitude of staff were the criteria used to express patients' satisfaction. Most women interviewed in hospital were happy with physical access, organization, functioning and environment. However, excessive costs and coercive recovery of the expenses, failure of the referral system, lack of empathy and discrimination of the nursing staff, lack of resources for emergencies, lack of hygiene and comfort of the premises were criticized by the women interviewed at home.
The current maternal care system fails to effectively deal with obstetric complications. It needs to be better resourced, more easily available, cheaper and take into account the women's needs.
评估贝宁的紧急产科护理以及经历“险些死亡”事件的女性的看法和期望，以改善孕产妇健康状况。
2003年7月至10月，在卫生金字塔的三个转诊级别的七家医院进行了定性调查。我们采用了两种方法：对557名经历险些死亡事件的女性在医院进行访谈并填写一份标准问卷；然后对这557名女性中的42名在家中进行半结构化的个人访谈。
所提供的护理、住宿、设施、费用及康复方式、场所卫生、活力、专业知识、社会支持、工作人员的行为和态度是用于表达患者满意度的标准。大多数在医院接受访谈的女性对就医便利性、组织、运作和环境感到满意。然而，在家中接受访谈的女性批评了费用过高和强制收取费用、转诊系统失灵、护理人员缺乏同理心和歧视、缺乏应急资源、场所缺乏卫生和舒适度等问题。
当前的孕产妇护理系统未能有效应对产科并发症。它需要有更充足的资源、更便捷的可及性、更低的成本，并考虑到女性的需求。
