Centre de Formation et de Recherche en Santé de la Reproduction, Maternité Hôpital Aristide Le Dantec, Dakar, Senegal.
Int J Gynaecol Obstet. 2011 Dec;115(3):251-5. doi: 10.1016/j.ijgo.2011.08.002. Epub 2011 Oct 7.
To demonstrate that training ensures correct administration of oral misoprostol by auxiliary midwives for prevention of postpartum hemorrhage (PPH) among women giving birth at the community level in Senegal.
A 6-day training program for auxiliary midwives and supervisors, including 1 day of PPH prevention training and a practicum of 10 deliveries at health centers and 3 deliveries at maternity huts, was conducted in 2 Senegalese districts in June-July 2009. Data were collected between July and December 2009 on the administration of oral misoprostol by trained auxiliary midwives among 245 women giving birth at health centers, health posts, and maternity huts.
All participating women received the correct administration of oral misoprostol; however, few women delivering in the community-based maternity huts received the supervision that is locally required to administer misoprostol. Women were willing to pay for some or all of the costs of misoprostol for PPH prevention.
Timely management of PPH is essential to reduce maternal mortality. With limited training, auxiliary midwives achieved the correct administration of oral misoprostol that can attain this goal. Community delivery supervised by a skilled attendant limits access to, and need not be a requirement for, PPH prevention.
展示培训如何确保辅助助产士正确管理口服米索前列醇，以预防塞内加尔社区分娩妇女的产后出血（PPH）。
2009 年 6 月至 7 月，在塞内加尔的两个地区为辅助助产士和主管人员举办了为期 6 天的培训课程，包括 1 天 PPH 预防培训和在卫生中心和 3 个产妇棚进行的 10 次分娩实习。2009 年 7 月至 12 月，在卫生中心、卫生所和产妇棚分娩的 245 名妇女中，收集了接受培训的辅助助产士管理口服米索前列醇的情况数据。
所有参与的妇女均接受了正确的口服米索前列醇管理；然而，在社区产妇棚分娩的少数妇女没有接受当地规定的米索前列醇管理监督。妇女愿意支付部分或全部 PPH 预防费用。
及时处理 PPH 对于降低孕产妇死亡率至关重要。通过有限的培训，辅助助产士实现了正确管理口服米索前列醇，从而达到这一目标。由熟练护理人员监督的社区分娩限制了 PPH 预防的机会，但不是必需的。
