Fronczak N, Arifeen S E, Moran A C, Caulfield L E, Baqui A H
Social Sectors Development Strategies, Inc., Boston, MA 02118, USA.
J Health Popul Nutr. 2007 Dec;25(4):479-87.
This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity.
本文描述了孟加拉国达卡贫民窟地区妇女的分娩地点、助产人员培训、分娩方式和产后早期发病情况之间的关联。1993年11月至1995年5月期间，通过对1506名妇女、489名在家接生的助产人员进行访谈，并对本研究中的妇女分娩的20家机构进行审核，收集了有关分娩地点、助产人员培训、分娩方式、分娩相关并发症和产后发病情况的数据。具体探讨了孕产妇特征、分娩方式、分娩地点和产后早期发病情况之间的关联。自我报告的产后发病情况与孕产妇特征、分娩相关并发症以及一些分娩方式有关。经验更丰富的接生婆更有可能采用潜在有害的分娩方式，这增加了在家分娩妇女产后发病的风险。产后发病率在不同分娩地点并无差异。安全孕产计划必须制定有效的策略，以劝阻那些已证明会导致发病的潜在有害的家庭分娩方式。
