Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Int J Gynaecol Obstet. 2010 Aug;110(2):97-100. doi: 10.1016/j.ijgo.2010.02.021. Epub 2010 Apr 27.
To describe our experience of a complex training intervention to introduce effective perinatal care, evidence-based medicine, national confidential enquiries into maternal deaths, and facility-based near-miss case reviews in the Central Asian Republics.
We describe our experiences from training sessions and report on findings from data extraction from patient records, patient interviews, discussions with healthcare staff, and observation of health care during our follow-up visits.
Many outdated practices in perinatal care have been abandoned, and several recommended approaches have been adopted in pilot facilities. Familiarity with the concept of evidence-based medicine has increased among participants. National confidential enquiries into maternal deaths are being prepared and facility-based near-miss case reviews piloted.
The experience of the complex training intervention to improve maternal and perinatal health care in the Central Asian Republics is encouraging, but roll-out will be challenging. The quality of care and the attitudes of healthcare providers will have to be monitored continuously.
介绍在中亚国家实施复杂培训干预以引入有效围产期保健、循证医学、国家孕产妇死亡机密调查和基于机构的接近死亡病例评审的经验。
我们描述了培训课程中的经验，并报告了从患者记录、患者访谈、与医护人员的讨论以及随访期间观察医疗保健中提取的数据的结果。
许多过时的围产期保健做法已经被摒弃，并且在试点机构中采用了一些推荐的方法。参与者对循证医学概念的熟悉程度有所提高。正在筹备国家孕产妇死亡机密调查，并试点基于机构的接近死亡病例评审。
在中亚国家改善孕产妇和围产期保健的复杂培训干预的经验令人鼓舞，但推广将具有挑战性。必须持续监测护理质量和医疗保健提供者的态度。
