Arbab A A, McNamara R, Lauro D, Aziz F A
Maternal and Child Health, Ministry of Health, Khartoum, Sudan.
East Afr Med J. 1991 Feb;68(2):70-3.
Twenty nurse-midwives in government service in the Sudan (health visitors) were trained to provide intrauterine contraceptives in a research project designed to evaluate the safety of insertion of IUDs by medical personnel who are not physicians. After training, they inserted 763 IUDs. Independent evaluation of 520 clients was conducted by obstetrician-gynecologists who found that only six (1.2%) had been incorrectly inserted. Outcomes for clients of the health visitors with respect to perforations, infections, expulsions, and pregnancies compared well with those of eight physicians who participated in the study. The research strongly supports the concept of nurse-midwife training for IUD insertions which would greatly expand the availability of family planning services and would conserve physician time and skills for problem cases.
在苏丹政府部门工作的20名助产士（健康访视员）接受了培训，以便在一个研究项目中提供宫内节育器，该项目旨在评估非医生的医务人员插入宫内节育器的安全性。培训后，她们插入了763个宫内节育器。妇产科医生对520名客户进行了独立评估，发现只有6名（1.2%）插入不当。健康访视员的客户在穿孔、感染、排出和怀孕方面的结果与参与研究的8名医生的客户相比情况良好。该研究有力地支持了对助产士进行宫内节育器插入培训的理念，这将大大扩大计划生育服务的可及性，并为处理疑难病例节省医生的时间和技能。
